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NPI Code Detail

MEDICARE: ADRIAN KING

MEDICARE:   ADRIAN  KING
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 AnalystNV
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821625708
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN KING
Provider Business Mailing Address
First Line : STE 104 A
Second Line : 2580 N RANCHO
City : N LAS VEGAS
State : NV
Zip : 89032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2580 N RANCHO STE 104 A
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89032-8903
Country : US
Telephone Number : 480-795-0209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 03/23/2020

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Directions to “ ADRIAN KING ” Practice Location

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