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NPI Code Detail

MEDICARE: NOEMI ARREDONDO

MEDICARE: NOEMI ARREDONDO
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 TechnicianRBT-18-67807CA
2103K00000XBehavior Analyst1-21-5108NV

General Provider Information

NPI Number : 1386126126
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEMI ARREDONDO
Provider Business Mailing Address
First Line : 7261 W CHARLESTON BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1679
Country : US
Telephone Number : 725-251-2059
Fax Number : 702-222-0212
Provider Business Practice Location Address
First Line : 2820 W CHARLESTON BLVD STE 22
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1933
Country : US
Telephone Number : 702-900-7698
Fax Number : 702-825-0791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 07/12/2021

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Directions to “ NOEMI ARREDONDO ” Practice Location

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