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NPI Code Detail

MEDICARE: SONIA MARIA CISNEROS

MEDICARE: SONIA MARIA CISNEROS
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
1106S00000XBehavior TechnicianRBT-19-108100NV
2106S00000XBehavior TechnicianRBT1038NV

General Provider Information

NPI Number : 1710522321
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA MARIA CISNEROS
Provider Business Mailing Address
First Line : 6200 N DURANGO DR STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3939
Country : US
Telephone Number : 702-577-2606
Fax Number : 702-710-6023
Provider Business Practice Location Address
First Line : 6200 N DURANGO DR STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3939
Country : US
Telephone Number : 702-577-2606
Fax Number : 702-710-6023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 08/15/2025

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Directions to “ SONIA MARIA CISNEROS ” 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.

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