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NPI Code Detail

MEDICARE: IBIANDI MARQUETTI-VARONA QBA

MEDICARE: IBIANDI MARQUETTI-VARONA QBA
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 : 1164051611
Entity Type Code : Individual
Provider Name (Legal Business Name) : IBIANDI MARQUETTI-VARONA QBA
Provider Business Mailing Address
First Line : 4714 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4709
Country : US
Telephone Number : 702-658-7770
Fax Number :
Provider Business Practice Location Address
First Line : 4714 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4709
Country : US
Telephone Number : 702-658-7770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2020
Last Update Date : 04/06/2020

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Directions to “ IBIANDI MARQUETTI-VARONA QBA” Practice Location

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