MEDICARE: SHAMEIKA ADAMS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1366716409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMEIKA ADAMS

Provider Business Mailing Address
First Line	:	3835 MCGREGOR WAY
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-7697
Country	:	US
Telephone Number	:	702-428-7338
Fax Number	:

Provider Business Practice Location Address
First Line	:	3325 W CRAIG RD
Second Line	:	B
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-5004
Country	:	US
Telephone Number	:	702-330-9602
Fax Number	:

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

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	03/07/2012

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Directions to “ SHAMEIKA ADAMS ” Practice Location

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