MEDICARE: MRS. ALYSSA D DURNA

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	RBT-24-392606	NV

General Provider Information

NPI Number	:	1154756492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALYSSA D DURNA

Provider Business Mailing Address
First Line	:	3140 S RAINBOW BLVD STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6234
Country	:	US
Telephone Number	:	702-810-9148
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 S RAINBOW BLVD STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6234
Country	:	US
Telephone Number	:	702-810-9148
Fax Number	:

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

Provider Enumeration Date	:	09/05/2013
Last Update Date	:	12/08/2024

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