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NPI Code Detail

MEDICARE: DANICA FOLKERSEN

MEDICARE: DANICA FOLKERSEN
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 Technician

General Provider Information

NPI Number : 1346858099
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANICA FOLKERSEN
Provider Business Mailing Address
First Line : 6771 W CHARLESTON BLVD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-9016
Country : US
Telephone Number : 801-255-5131
Fax Number : 702-405-7451
Provider Business Practice Location Address
First Line : 6771 W CHARLESTON BLVD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-9016
Country : US
Telephone Number : 702-405-8772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2020
Last Update Date : 07/05/2024

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Directions to “ DANICA FOLKERSEN ” Practice Location

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