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NPI Code Detail

MEDICARE: AVA RAQUEL TROMPETER

MEDICARE: AVA RAQUEL TROMPETER
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 TechnicianNV
2103K00000XBehavior AnalystNV

General Provider Information

NPI Number : 1538876594
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVA RAQUEL TROMPETER
Provider Business Mailing Address
First Line : 3032 BICENTENNIAL PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89044-0519
Country : US
Telephone Number : 702-304-4763
Fax Number :
Provider Business Practice Location Address
First Line : 1091 S CIMARRON RD STE A4
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-2445
Country : US
Telephone Number : 702-992-7908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2022
Last Update Date : 11/12/2024

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Directions to “ AVA RAQUEL TROMPETER ” Practice Location

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