MEDICARE: KIMBERLY KAY FEARNSIDE BA01

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1144525445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY KAY FEARNSIDE BA01

Provider Business Mailing Address
First Line	:	7381 PRAIRIE FALCON RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0811
Country	:	US
Telephone Number	:	702-202-8716
Fax Number	:

Provider Business Practice Location Address
First Line	:	7381 PRAIRIE FALCON RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0811
Country	:	US
Telephone Number	:	702-202-8716
Fax Number	:

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

Provider Enumeration Date	:	01/18/2011
Last Update Date	:	01/18/2011

Similar Medicare Providers

1003822081 — MR. DAVID ALEXANDER STURGEON CSW-INTERN
Practice Location Address:

7381 PRAIRIE FALCON RD
LAS VEGAS, NV
89128-0811

Practice Phone: 702-468-1321
Practice Fax: 702-396-0015

1457473258 — MS. AMY BERRY M.ED.
Practice Location Address:

7381 PRAIRIE FALCON RD , SUITE 110
LAS VEGAS, NV
89128-0811

Practice Phone: 702-646-5437
Practice Fax:

1811180243 — DANELLE MONICA GUILLEN
Practice Location Address:

7381 PRAIRIE FALCON RD
LAS VEGAS, NV
89128-0811

Practice Phone: 702-376-8322
Practice Fax:

1033347745 — TALON PEAK YOUTH AND FAMILY COUNSELING
Practice Location Address:

7381 PRAIRIE FALCON RD , SUITE 130
LAS VEGAS, NV
89128-0811

Practice Phone: 702-375-1488
Practice Fax: 702-396-4193

1679803746 — MRS. KRISHELL L HADSELL CPC
Practice Location Address:

7381 PRAIRIE FALCON RD , #120
LAS VEGAS, NV
89128-0811

Practice Phone: 702-241-1249
Practice Fax:

1083946875 — HERO'S JOURNEY, INC
Practice Location Address:

7381 PRAIRIE FALCON RD , SUITE 140
LAS VEGAS, NV
89128-0811

Practice Phone: 702-375-9235
Practice Fax:

1144539735 — MS. ARMANDA DAWN MIRANDA BS
Practice Location Address:

7381 PRAIRIE FALCON RD
LAS VEGAS, NV
89128-0811

Practice Phone: 702-646-5437
Practice Fax:

Directions to “ KIMBERLY KAY FEARNSIDE BA01” 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 © 2007-2025 (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.