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NPI Code Detail

MEDICARE: MOISES JOSHUA RENTERIA

MEDICARE: MOISES JOSHUA RENTERIA
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 TechnicianBACB1546997NV

General Provider Information

NPI Number : 1861333551
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOISES JOSHUA RENTERIA
Provider Business Mailing Address
First Line : 1707 VILLAGE CENTER CIR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0577
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1707 VILLAGE CENTER CIR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0577
Country : US
Telephone Number : 718-215-5311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2026
Last Update Date : 04/04/2026

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Directions to “ MOISES JOSHUA RENTERIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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