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NPI Code Detail

MEDICARE: JADALYN NUNEZ

MEDICARE: JADALYN NUNEZ
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
1106S00000XBehavior TechnicianNV

General Provider Information

NPI Number : 1295697845
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADALYN NUNEZ
Provider Business Mailing Address
First Line : 7949 MACKLIN ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-5540
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11500 S EASTERN AVE STE 150
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5576
Country : US
Telephone Number : 760-856-0607
Fax Number : 760-856-5007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/17/2025

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