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NPI Code Detail

MEDICARE: SONGBIRD HEALTH NV LLC

MEDICARE: SONGBIRD HEALTH NV LLC
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 : 1134727910
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONGBIRD HEALTH NV LLC
Provider Business Mailing Address
First Line : 5940 S RAINBOW BLVD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2507
Country : US
Telephone Number : 702-891-4875
Fax Number :
Provider Business Practice Location Address
First Line : 5940 S RAINBOW BLVD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2507
Country : US
Telephone Number : 702-891-4875
Fax Number :
Authorized Official
Title or Position : CO-FOUNDER
Name : BENJAMIN HSU
Credential :
Telephone Number : 571-244-4592
Provider Enumeration Date : 10/13/2020
Last Update Date : 02/14/2022

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Directions to “SONGBIRD HEALTH NV LLC ” Practice Location

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