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NPI Code Detail

MEDICARE: VERONICA PERNELL

MEDICARE: VERONICA PERNELL
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 Analyst

General Provider Information

NPI Number : 1447636303
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA PERNELL
Provider Business Mailing Address
First Line : 2300 W SAHARA AVE
Second Line : SUITE 800
City : LAS VEGAS
State : NV
Zip : 89102-4352
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2300 W SAHARA AVE
Second Line : SUITE 800
City : LAS VEGAS
State : NV
Zip : 89102-4352
Country : US
Telephone Number : 702-826-4628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 08/03/2015

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Directions to “ VERONICA PERNELL ” Practice Location

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