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NPI Code Detail

MEDICARE: MONTANA MAXINE NEYRA VILLAVER BCABA

MEDICARE: MONTANA MAXINE NEYRA VILLAVER BCABA
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 Analyst1133NV
2106S00000XBehavior Technician
3106E00000XAssistant Behavior AnalystNV

General Provider Information

NPI Number : 1659930501
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTANA MAXINE NEYRA VILLAVER BCABA
Provider Business Mailing Address
First Line : 9130 HILVERSON AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6325 S JONES BLVD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-3332
Country : US
Telephone Number : 702-618-9120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2019
Last Update Date : 03/05/2026

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Directions to “ MONTANA MAXINE NEYRA VILLAVER BCABA” Practice Location

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