MEDICARE: TERENCE CAPERS

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

General Provider Information

NPI Number	:	1285010900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERENCE CAPERS

Provider Business Mailing Address
First Line	:	2330 PASEO DEL PRADO
Second Line	:	C-105
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4359
Country	:	US
Telephone Number	:	702-823-2313
Fax Number	:	702-489-7760

Provider Business Practice Location Address
First Line	:	2330 PASEO DEL PRADO
Second Line	:	C-105
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4359
Country	:	US
Telephone Number	:	702-823-2313
Fax Number	:	702-489-7760

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

Provider Enumeration Date	:	08/04/2015
Last Update Date	:	08/04/2015

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Directions to “ TERENCE CAPERS ” Practice Location

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