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NPI Code Detail

MEDICARE: MAURICE BAILEY

MEDICARE: MAURICE BAILEY
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1629465455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURICE BAILEY
Provider Business Mailing Address
First Line : 1058 W OWENS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2507
Country : US
Telephone Number : 702-749-7444
Fax Number : 702-749-7844
Provider Business Practice Location Address
First Line : 1058 W OWENS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2507
Country : US
Telephone Number : 702-749-7444
Fax Number : 702-749-7844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2015
Last Update Date : 04/20/2015

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Directions to “ MAURICE BAILEY ” 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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