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NPI Code Detail

MEDICARE: GALINA DINEVA RBT

MEDICARE: GALINA DINEVA 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 Technician4375NV

General Provider Information

NPI Number : 1447085253
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALINA DINEVA RBT
Provider Business Mailing Address
First Line : 1775 VILLAGE CENTER CIR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0571
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1775 VILLAGE CENTER CIR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0571
Country : US
Telephone Number : 702-766-9840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2024
Last Update Date : 09/03/2024

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Directions to “ GALINA DINEVA RBT” Practice Location

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