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NPI Code Detail

MEDICARE: TINA CERCHIAI

MEDICARE:   TINA  CERCHIAI
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
1225400000XRehabilitation Practitioner
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1174819486
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA CERCHIAI
Provider Business Mailing Address
First Line : 6363 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-6290
Country : US
Telephone Number : 702-850-2691
Fax Number :
Provider Business Practice Location Address
First Line : 6363 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-6290
Country : US
Telephone Number : 702-850-2691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2011
Last Update Date : 05/06/2022

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Directions to “ TINA CERCHIAI ” Practice Location

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