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NPI Code Detail

MEDICARE: NOAH SERVISS

MEDICARE: NOAH SERVISS
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 : 1144171422
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH SERVISS
Provider Business Mailing Address
First Line : 27268 VIA INDUSTRIA
Second Line :
City : TEMECULA
State : CA
Zip : 92590-3751
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27268 VIA INDUSTRIA
Second Line :
City : TEMECULA
State : CA
Zip : 92590-3751
Country : US
Telephone Number : 951-265-6504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ NOAH SERVISS ” Practice Location

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