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NPI Code Detail

MEDICARE: MOUNTAIN VIEW FAMILY SERVICES

MEDICARE: MOUNTAIN VIEW FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1033671565
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN VIEW FAMILY SERVICES
Provider Business Mailing Address
First Line : 2735 W PEBBLE RD UNIT 510
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-6568
Country : US
Telephone Number : 510-240-0250
Fax Number :
Provider Business Practice Location Address
First Line : 2735 W PEBBLE RD UNIT 510
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-6568
Country : US
Telephone Number : 510-240-0250
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAEL GRAY
Credential :
Telephone Number : 510-240-0250
Provider Enumeration Date : 04/03/2019
Last Update Date : 09/03/2019

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Directions to “MOUNTAIN VIEW FAMILY SERVICES ” Practice Location

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