MEDICARE: BATYAH NAVA SARIT BSW

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	:	1669942959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BATYAH NAVA SARIT BSW

Provider Business Mailing Address
First Line	:	3053 W CRAIG RD STE 201
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-5124
Country	:	US
Telephone Number	:	702-630-3911
Fax Number	:

Provider Business Practice Location Address
First Line	:	3646 LAS VEGAS BLVD N STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-1560
Country	:	US
Telephone Number	:	702-630-3911
Fax Number	:

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

Provider Enumeration Date	:	11/28/2018
Last Update Date	:	11/28/2018

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Directions to “ BATYAH NAVA SARIT BSW” Practice Location

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