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NPI Code Detail

MEDICARE: ROMANA CHRISTINE VILLAGOMEZ MIAH RBT

MEDICARE: ROMANA CHRISTINE VILLAGOMEZ MIAH RBT
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 TechnicianRBT19-85752NV

General Provider Information

NPI Number : 1417451626
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROMANA CHRISTINE VILLAGOMEZ MIAH RBT
Provider Business Mailing Address
First Line : 6200 N DURANGO DR STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3939
Country : US
Telephone Number : 702-577-2606
Fax Number : 702-710-6023
Provider Business Practice Location Address
First Line : 6200 N DURANGO DR STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3939
Country : US
Telephone Number : 702-557-7260
Fax Number : 702-710-6023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 04/25/2025

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Directions to “ ROMANA CHRISTINE VILLAGOMEZ MIAH RBT” Practice Location

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