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NPI Code Detail

MEDICARE: MRS. ILEANA DELFAUS-BECCUE

MEDICARE: MRS. ILEANA DELFAUS-BECCUE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1104357458
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ILEANA DELFAUS-BECCUE
Provider Business Mailing Address
First Line : 1830 E SAHARA AVE STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3738
Country : US
Telephone Number : 702-369-8509
Fax Number : 702-733-6144
Provider Business Practice Location Address
First Line : 1830 E SAHARA AVE STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3738
Country : US
Telephone Number : 702-369-8509
Fax Number : 702-733-6144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 03/27/2017

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Directions to “ MRS. ILEANA DELFAUS-BECCUE ” Practice Location

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