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NPI Code Detail

MEDICARE: MS. NADJA BEHESHTI

MEDICARE: MS. NADJA BEHESHTI
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 : 1831514546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NADJA BEHESHTI
Provider Business Mailing Address
First Line : 7120 RAINCLOUD DR
Second Line : LAS VEGAS
City : LAS VEGAS
State : NV
Zip : 89145-5115
Country : US
Telephone Number : 702-595-7323
Fax Number :
Provider Business Practice Location Address
First Line : 3450 W CHEYENNE AVE STE 500
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-8225
Country : US
Telephone Number : 702-631-0230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2014
Last Update Date : 03/04/2014

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