MEDICARE: THE MOVE PROJECT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	251B00000X	Case Management Agency
3	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649890344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MOVE PROJECT INC

Provider Business Mailing Address
First Line	:	431 S 6TH ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6915
Country	:	US
Telephone Number	:	702-762-5433
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 S 6TH ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6915
Country	:	US
Telephone Number	:	702-762-5433
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHERILL BANKS-MADDOX
Credential	:
Telephone Number	:	702-762-5433

Provider Enumeration Date	:	04/22/2020
Last Update Date	:	04/22/2020

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Directions to “THE MOVE PROJECT INC ” Practice Location

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