MEDICARE: AREEJ SALIM

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-20-115084	NV

General Provider Information

NPI Number	:	1174140123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AREEJ SALIM

Provider Business Mailing Address
First Line	:	11240 ARCANGELO CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3475
Country	:	US
Telephone Number	:	207-248-9616
Fax Number	:

Provider Business Practice Location Address
First Line	:	5575 S DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1833
Country	:	US
Telephone Number	:	702-789-6877
Fax Number	:

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

Provider Enumeration Date	:	06/25/2020
Last Update Date	:	06/25/2020

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