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NPI Code Detail

MEDICARE: HEATHER L BARNES

MEDICARE:   HEATHER L BARNES
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
2171400000XHealth & Wellness Coach
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1659643666
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER L BARNES
Provider Business Mailing Address
First Line : 4935 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-6402
Country : US
Telephone Number : 702-483-8333
Fax Number :
Provider Business Practice Location Address
First Line : 4935 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-6402
Country : US
Telephone Number : 702-483-8333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2012
Last Update Date : 10/21/2022

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Directions to “ HEATHER L BARNES ” 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.