MEDICARE: ELIA BELL

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

General Provider Information

NPI Number	:	1619256450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIA BELL

Provider Business Mailing Address
First Line	:	529 UXBRIDGE DR.
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178
Country	:	US
Telephone Number	:	775-338-2473
Fax Number	:

Provider Business Practice Location Address
First Line	:	529 UXBRIDGE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-1289
Country	:	US
Telephone Number	:	775-338-2473
Fax Number	:

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

Provider Enumeration Date	:	08/10/2011
Last Update Date	:	08/10/2011

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Directions to “ ELIA BELL ” Practice Location

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