MEDICARE: EMILY GOOD WEASEL

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

General Provider Information

NPI Number	:	1407102825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY GOOD WEASEL

Provider Business Mailing Address
First Line	:	5250 S RAINBOW BLVD
Second Line	:	2144
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-0624
Country	:	US
Telephone Number	:	505-235-8693
Fax Number	:

Provider Business Practice Location Address
First Line	:	5250 S RAINBOW BLVD
Second Line	:	2144
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-0624
Country	:	US
Telephone Number	:	505-235-8693
Fax Number	:

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

Provider Enumeration Date	:	08/03/2012
Last Update Date	:	08/03/2012

Similar Medicare Providers

1275313108 — NEIGHBORHOODLV CORPORATION
Practice Location Address:

5250 S RAINBOW BLVD
LAS VEGAS, NV
89118-0624

Practice Phone: 702-265-5901
Practice Fax:

1407791122 — LAUREN LINDELL DRUM
Practice Location Address:

6755 W ARBY AVE APT 154
LAS VEGAS, NV
89118-4759

Practice Phone: 657-203-5757
Practice Fax:

1093663742 — KRISTINE DAVID PT
Practice Location Address:

4275 W BELL DR STE 6
LAS VEGAS, NV
89118-1734

Practice Phone: 575-791-0341
Practice Fax:

1659930501 — MONTANA MAXINE NEYRA VILLAVER BCBA
Practice Location Address:

6325 S JONES BLVD STE 400
LAS VEGAS, NV
89118-3332

Practice Phone: 702-618-9120
Practice Fax:

1366442345 — OASIS HOME HEALTH, LLC
Practice Location Address:

5888 W SUNSET RD STE 103
LAS VEGAS, NV
89118-3453

Practice Phone: 702-382-3030
Practice Fax: 702-382-9394

1205652518 — ALEXANDRIA N BRAGG APRN, FNP-C
Practice Location Address:

5400 S RAINBOW BLVD
LAS VEGAS, NV
89118-1859

Practice Phone: 702-853-0000
Practice Fax:

Directions to “ EMILY GOOD WEASEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.