MEDICARE: EBONNEE PATRICE BRITTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	103K00000X	Behavior Analyst	NV
2	372500000X	Chore Provider
3	372600000X	Adult Companion
4	3747A0650X	Attendant Care Provider
5	376J00000X	Homemaker
6	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1841747615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EBONNEE PATRICE BRITTON

Provider Business Mailing Address
First Line	:	2010 E FLAMINGO ROAD SUITE 150
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119
Country	:	US
Telephone Number	:	702-270-3219
Fax Number	:

Provider Business Practice Location Address
First Line	:	332 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2804
Country	:	US
Telephone Number	:	702-665-5654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	08/16/2019

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Directions to “ EBONNEE PATRICE BRITTON ” Practice Location

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