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NPI Code Detail

MEDICARE: DYLENA PIERCE

MEDICARE:   DYLENA  PIERCE
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 Analyst

General Provider Information

NPI Number : 1750680377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYLENA PIERCE
Provider Business Mailing Address
First Line : 1805 GOLDEN VISTA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2554
Country : US
Telephone Number : 702-612-8144
Fax Number :
Provider Business Practice Location Address
First Line : 1805 GOLDEN VISTA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2554
Country : US
Telephone Number : 702-612-8144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2011
Last Update Date : 03/22/2011

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Directions to “ DYLENA PIERCE ” Practice Location

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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.