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NPI Code Detail

MEDICARE: PRISCILLA VONK

MEDICARE: PRISCILLA VONK
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 Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1558077412
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA VONK
Provider Business Mailing Address
First Line : 6825 MAVERICK VALLEY PL
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-6124
Country : US
Telephone Number : 702-960-3752
Fax Number :
Provider Business Practice Location Address
First Line : 7995 BLUE DIAMOND RD STE 102-304
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-9301
Country : US
Telephone Number : 702-848-6070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 07/15/2025

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Directions to “ PRISCILLA VONK ” Practice Location

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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.

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