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NPI Code Detail

MEDICARE: STACY MONTES RBT

MEDICARE: STACY MONTES 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 TechnicianRBT-18-65930NV
2103K00000XBehavior AnalystBACB455022NV

General Provider Information

NPI Number : 1427532787
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY MONTES RBT
Provider Business Mailing Address
First Line : 2916 DEMETRIUS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-1612
Country : US
Telephone Number : 702-577-8722
Fax Number :
Provider Business Practice Location Address
First Line : 1707 VILLAGE CENTER CIR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0577
Country : US
Telephone Number : 702-766-9840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2018
Last Update Date : 07/24/2024

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Directions to “ STACY MONTES RBT” Practice Location

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