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NPI Code Detail

MEDICARE: AMBER OSTROW BCBA

MEDICARE: AMBER OSTROW BCBA
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 TechnicianRBT1098NV
2103K00000XBehavior Analyst1-21-57308NV

General Provider Information

NPI Number : 1811522493
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER OSTROW BCBA
Provider Business Mailing Address
First Line : 555 N MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-3133
Country : US
Telephone Number : 702-403-9760
Fax Number :
Provider Business Practice Location Address
First Line : 555 N MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-3133
Country : US
Telephone Number : 702-403-9760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2020
Last Update Date : 05/01/2023

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