MEDICARE: NATHANIEL HOWARD COX

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1649789173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHANIEL HOWARD COX

Provider Business Mailing Address
First Line	:	3137 N MICHAEL WAY APT B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4192
Country	:	US
Telephone Number	:	702-467-2435
Fax Number	:

Provider Business Practice Location Address
First Line	:	3852 PALOS VERDES ST APT 32
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6910
Country	:	US
Telephone Number	:	702-485-3430
Fax Number	:

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

Provider Enumeration Date	:	09/27/2017
Last Update Date	:	09/27/2017

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Directions to “ NATHANIEL HOWARD COX ” Practice Location

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