MEDICARE: BRIANA MICKEL

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	:	1659817922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA MICKEL

Provider Business Mailing Address
First Line	:	5341 BRAZELTON ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2458
Country	:	US
Telephone Number	:	702-763-0261
Fax Number	:

Provider Business Practice Location Address
First Line	:	5341 BRAZELTON ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2458
Country	:	US
Telephone Number	:	702-763-0261
Fax Number	:

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

Provider Enumeration Date	:	01/11/2017
Last Update Date	:	01/11/2017

Similar Medicare Providers

1275163040 — FRANCES CANG CHAN
Practice Location Address:

7529 LINTWHITE ST
NORTH LAS VEGAS, NV
89084-2458

Practice Phone: 702-575-5347
Practice Fax:

1851032676 — ANDREA DOROTHY CHAN BSC, MACC, CFE
Practice Location Address:

7529 LINTWHITE ST
NORTH LAS VEGAS, NV
89084-2458

Practice Phone: 725-248-7592
Practice Fax:

1730118894 — DR. DONALD JOHN FARR D.D.S.
Practice Location Address:

2458 E RUSSELL RD STE B
LAS VEGAS, NV
89120-2475

Practice Phone: 702-798-4595
Practice Fax: 702-262-1115

1376573196 — BRADLEY ARTHUR DITSWORTH D.M.D.
Practice Location Address:

2458 E RUSSELL RD , SUITE A
LAS VEGAS, NV
89120-2474

Practice Phone: 702-798-6216
Practice Fax: 702-798-6269

1962701631 — MICHAEL HARTNETT
Practice Location Address:

5195 GANADO DR
LAS VEGAS, NV
89103-2458

Practice Phone: 702-338-9592
Practice Fax:

1285051433 — MRS. MARCIA J SHERROD
Practice Location Address:

7529 LINTWHITE ST
N LAS VEGAS, NV
89084-2458

Practice Phone: 702-541-3144
Practice Fax:

Directions to “ BRIANA MICKEL ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.