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NPI Code Detail

MEDICARE: YOLANDA D STANDIFER

MEDICARE:   YOLANDA D STANDIFER
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
1103K00000XBehavior AnalystNV
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1205353836
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA D STANDIFER
Provider Business Mailing Address
First Line : 3805 FUSELIER DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-3003
Country : US
Telephone Number : 916-320-5031
Fax Number :
Provider Business Practice Location Address
First Line : 3805 FUSELIER DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-3003
Country : US
Telephone Number : 916-320-5031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2017
Last Update Date : 07/21/2022

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Directions to “ YOLANDA D STANDIFER ” Practice Location

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