MEDICARE: LINDA DIANE MAZAHERI

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	:	1679871230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA DIANE MAZAHERI

Provider Business Mailing Address
First Line	:	704 DUCHESS AVE
Second Line	:
City	:	N. LAS, VEGAS
State	:	NV
Zip	:	89030
Country	:	US
Telephone Number	:	702-752-2578
Fax Number	:

Provider Business Practice Location Address
First Line	:	704 DUCHESS AVE
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-8602
Country	:	US
Telephone Number	:	702-752-2578
Fax Number	:

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

Provider Enumeration Date	:	03/07/2011
Last Update Date	:	03/07/2011

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1851916290 — WILLIANM DAVID MOSLEY
Practice Location Address:

8602 LAVENDER RIDGE ST
LAS VEGAS, NV
89131-1101

Practice Phone: 702-339-8141
Practice Fax:

1700667821 — CHANDLER ELISE WULLENWABER
Practice Location Address:

8167 DEADWOOD BEND CT
LAS VEGAS, NV
89178-8602

Practice Phone: 702-810-3757
Practice Fax:

1134115975 — DR. JOHN H. MAHON M.D.
Practice Location Address:

8602 N CARDINAL DR
PHOENIX, AZ
85028-6102

Practice Phone: 480-695-2724
Practice Fax:

1619957461 — MRS. SHARON J. ROBERTS PHARMD
Practice Location Address:

5050 N NEVADA AVE , ATTN: COSTCO PHARMACY
COLORADO SPRINGS, CO
80918-8602

Practice Phone: 719-264-5019
Practice Fax: 719-264-5016

1881653772 — LUCIANO I KOLODNY MD
Practice Location Address:

12910 12TH ST N
LAKE ELMO, MN
55042-8602

Practice Phone: 612-616-4939
Practice Fax:

Directions to “ LINDA DIANE MAZAHERI ” 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 © 2007-2026 (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.