MEDICARE: NANCY SOLIMAN

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	103K00000X	Behavior Analyst	OTC12252	AZ

General Provider Information

NPI Number	:	1457096877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY SOLIMAN

Provider Business Mailing Address
First Line	:	3612 W DUNLAP AVE STE B
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-5300
Country	:	US
Telephone Number	:	623-248-8136
Fax Number	:

Provider Business Practice Location Address
First Line	:	3612 W DUNLAP AVE STE B
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-5300
Country	:	US
Telephone Number	:	480-248-0846
Fax Number	:

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

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	04/10/2023

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Directions to “ NANCY SOLIMAN ” Practice Location

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