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NPI Code Detail

MEDICARE: STEPHANIE DEAN JENSEN RBT

MEDICARE: STEPHANIE DEAN JENSEN RBT
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
1171W00000XContractor12497OR
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1346441821
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE DEAN JENSEN RBT
Provider Business Mailing Address
First Line : 2075 E WINDMILL LN STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2085
Country : US
Telephone Number : 702-326-5996
Fax Number :
Provider Business Practice Location Address
First Line : 2075 E WINDMILL LN STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2085
Country : US
Telephone Number : 702-326-5996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 02/12/2026

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Directions to “ STEPHANIE DEAN JENSEN RBT” Practice Location

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