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NPI Code Detail

MEDICARE: ERIC KESSLER

MEDICARE: ERIC KESSLER
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 AnalystLBAT101215NV

General Provider Information

NPI Number : 1437522679
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC KESSLER
Provider Business Mailing Address
First Line : 5550 W FLAMINGO RD STE C5
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-0137
Country : US
Telephone Number : 702-877-2520
Fax Number : 702-877-2521
Provider Business Practice Location Address
First Line : 5550 W FLAMINGO RD STE C5
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-0137
Country : US
Telephone Number : 702-877-2520
Fax Number : 702-877-2521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2015
Last Update Date : 01/20/2017

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Directions to “ ERIC KESSLER ” Practice Location

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