MEDICARE: REBEKAH MOYA RBT

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	106S00000X	Behavior Technician	RBT2630	NV

General Provider Information

NPI Number	:	1689374167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH MOYA RBT

Provider Business Mailing Address
First Line	:	610 ABRAZAR AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-4431
Country	:	US
Telephone Number	:	210-825-0184
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 HOOVER AVE UNIT 1413
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6880
Country	:	US
Telephone Number	:	702-350-1875
Fax Number	:

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

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	03/03/2023

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Directions to “ REBEKAH MOYA RBT” Practice Location

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