MEDICARE: MR. ZONTONNIA MOORE JR.

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
1	225400000X	Rehabilitation Practitioner		NV

General Provider Information

NPI Number	:	1447674551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ZONTONNIA MOORE JR.

Provider Business Mailing Address
First Line	:	4530 S DECATUR BLVD STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-5239
Country	:	US
Telephone Number	:	725-312-3676
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 S DECATUR BLVD STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-5239
Country	:	US
Telephone Number	:	725-312-3676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2014
Last Update Date	:	01/30/2024

Similar Medicare Providers

1477338465 — ABIGAIL ROSE GONZALEZ LMSW
Practice Location Address:

4530 S DECATUR BLVD STE 201B
LAS VEGAS, NV
89103-5239

Practice Phone: 702-486-7865
Practice Fax:

1982933719 — MRS. MARIJA GINETTE SAVITT M.A.
Practice Location Address:

4530 S DECATUR BLVD STE 201A
LAS VEGAS, NV
89103-5239

Practice Phone: 725-309-0534
Practice Fax:

1386945038 — MRS. ORNELLA ROMEO LCSW
Practice Location Address:

4530 S DECATUR BLVD STE 201A
LAS VEGAS, NV
89103-5239

Practice Phone: 702-486-6713
Practice Fax:

1851641252 — TAMIKA M MORRIS M.S. LMFT-INTERN
Practice Location Address:

4530 S DECATUR BLVD STE 201
LAS VEGAS, NV
89103-5239

Practice Phone: 702-486-6100
Practice Fax:

1851717359 — HEATHER BUTCHART
Practice Location Address:

4530 S DECATUR BLVD STE 201B
LAS VEGAS, NV
89103-5239

Practice Phone: 702-486-7865
Practice Fax:

1457766222 — DR. CANDIS MITCHELL PSY.D
Practice Location Address:

4530 S DECATUR BLVD STE 201B
LAS VEGAS, NV
89103-5239

Practice Phone: 702-530-1111
Practice Fax:

Directions to “ MR. ZONTONNIA MOORE JR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.