MEDICARE: TALANA LOYD

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
2	225400000X	Rehabilitation Practitioner		NV

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	:	1336572221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALANA LOYD

Provider Business Mailing Address
First Line	:	4375 BOULDER HWY APT 187
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3076
Country	:	US
Telephone Number	:	702-881-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	2074 CARY GRANT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-4701
Country	:	US
Telephone Number	:	702-479-9330
Fax Number	:

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

Provider Enumeration Date	:	08/14/2013
Last Update Date	:	02/01/2021

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Directions to “ TALANA LOYD ” Practice Location

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