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NPI Code Detail

MEDICARE: MISS JONTAVIA DAWAYNA FRANKLIN

MEDICARE:  MISS JONTAVIA DAWAYNA FRANKLIN
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 : 1841631413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JONTAVIA DAWAYNA FRANKLIN
Provider Business Mailing Address
First Line : 3338 DRAGON FLY ST
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89032-8910
Country : US
Telephone Number : 702-588-8521
Fax Number :
Provider Business Practice Location Address
First Line : 3338 DRAGON FLY ST
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89032-8910
Country : US
Telephone Number : 702-588-8521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2013
Last Update Date : 07/11/2013

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Directions to “ MISS JONTAVIA DAWAYNA FRANKLIN ” Practice Location

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