MEDICARE: SHANICE T ALLEN MEDICAL ASSISTANT

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1124636501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANICE T ALLEN MEDICAL ASSISTANT

Provider Business Mailing Address
First Line	:	4650 N RAINBOW BLVD APT 2200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-5765
Country	:	US
Telephone Number	:	702-759-6623
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 W CHEYENNE AVE STE 300
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8223
Country	:	US
Telephone Number	:	702-792-0665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	07/21/2020

Similar Medicare Providers

1518273317 — TIANA DALERECA HUBBARD ANP
Practice Location Address:

3450 W CHEYENNE AVE , STE 200
NORTH LAS VEGAS, NV
89032-8223

Practice Phone: 314-406-9081
Practice Fax: 702-789-0717

1841596731 — MR. ILLYAS MALIK JENKINS
Practice Location Address:

3450 W CHEYENNE AVE STE 300
N LAS VEGAS, NV
89032-8223

Practice Phone: 954-380-0875
Practice Fax:

1770029910 — ONE LOVE CARE LLC
Practice Location Address:

3450 W CHEYENNE AVE STE 200
NORTH LAS VEGAS, NV
89032-8223

Practice Phone: 702-787-2116
Practice Fax:

1679006878 — OGIFI BEHAVIORAL HEALTH SERVICES INC
Practice Location Address:

3450 W CHEYENNE AVE STE 300
NORTH LAS VEGAS, NV
89032-8223

Practice Phone: 702-275-5461
Practice Fax:

1952867749 — REMY PREMIER HEALTH SERVICES
Practice Location Address:

3450 W CHEYENNE AVE STE 200
N LAS VEGAS, NV
89032-8223

Practice Phone: 702-451-0172
Practice Fax: 702-451-0173

1215490289 — MS. VICTORIA KAY DACOSTA RDH, CMT
Practice Location Address:

3450 W CHEYENNE AVE STE 100
NORTH LAS VEGAS, NV
89032-8223

Practice Phone: 702-787-2116
Practice Fax:

Directions to “ SHANICE T ALLEN MEDICAL ASSISTANT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.