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NPI Code Detail

MEDICARE: CHERYL BROWN

MEDICARE: CHERYL BROWN
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 Analyst

General Provider Information

NPI Number : 1326398611
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL BROWN
Provider Business Mailing Address
First Line : 600 N 1ST ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-1904
Country : US
Telephone Number : 702-463-0110
Fax Number : 702-463-0166
Provider Business Practice Location Address
First Line : 600 N 1ST ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-1904
Country : US
Telephone Number : 702-463-0110
Fax Number : 702-463-0166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2012
Last Update Date : 09/13/2012

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Directions to “ CHERYL BROWN ” Practice Location

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