MEDICARE: REBECCA FLORES

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1366307498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA FLORES

Provider Business Mailing Address
First Line	:	6775 BADURA AVE UNIT 2111
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-4783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6775 BADURA AVE UNIT 2111
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-4783
Country	:	US
Telephone Number	:	720-884-6441
Fax Number	:

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

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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Directions to “ REBECCA FLORES ” Practice Location

Language	Start Address	Practice Location

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