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NPI Code Detail

MEDICARE: ROSEISHA ALVARADO

MEDICARE: ROSEISHA ALVARADO
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1386919389
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEISHA ALVARADO
Provider Business Mailing Address
First Line : 6240 SERENO SPRINGS ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-6614
Country : US
Telephone Number : 702-749-9800
Fax Number : 702-749-9801
Provider Business Practice Location Address
First Line : 6148 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3052
Country : US
Telephone Number : 702-749-9800
Fax Number : 702-749-9801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2012
Last Update Date : 03/09/2012

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Directions to “ ROSEISHA ALVARADO ” Practice Location

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