MEDICARE: MR. CHRIS HOLCOMB PHD., CCC-SLP, BCBA

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	235Z00000X	Speech-Language Pathologist	SP620	NV
2	103K00000X	Behavior Analyst	LBA0027	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386763530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRIS HOLCOMB PHD., CCC-SLP, BCBA

Provider Business Mailing Address
First Line	:	7261 W CHARLESTON BLVD
Second Line	:	#101
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1636
Country	:	US
Telephone Number	:	702-396-0101
Fax Number	:	702-222-0212

Provider Business Practice Location Address
First Line	:	7261 W CHARLESTON BLVD
Second Line	:	#101
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1636
Country	:	US
Telephone Number	:	702-396-0101
Fax Number	:	702-222-0212

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	06/22/2015

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Directions to “ MR. CHRIS HOLCOMB PHD., CCC-SLP, BCBA” Practice Location

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