MEDICARE: TALISHIA TURNER

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	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225332554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALISHIA TURNER

Provider Business Mailing Address
First Line	:	1350 E FLAMINGO RD
Second Line	:	BOX 577
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5263
Country	:	US
Telephone Number	:	702-834-5849
Fax Number	:	702-483-6288

Provider Business Practice Location Address
First Line	:	3430 E FLAMINGO RD
Second Line	:	SUITE 237
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5003
Country	:	US
Telephone Number	:	702-834-5849
Fax Number	:	702-483-6288

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

Provider Enumeration Date	:	12/30/2010
Last Update Date	:	12/30/2010

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Directions to “ TALISHIA TURNER ” Practice Location

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