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NPI Code Detail

MEDICARE: AUTISM & BEHAVIORAL CONSULTING SERVICES

MEDICARE: AUTISM & BEHAVIORAL CONSULTING SERVICES
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 AnalystNV20131399758NV
2106S00000XBehavior Technician
3225X00000XOccupational Therapist
4103K00000XBehavior Analyst

General Provider Information

NPI Number : 1881026573
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM & BEHAVIORAL CONSULTING SERVICES
Provider Business Mailing Address
First Line : 5575 SIMMONS ST
Second Line : # 1-491
City : N LAS VEGAS
State : NV
Zip : 89031-9009
Country : US
Telephone Number : 702-283-6215
Fax Number :
Provider Business Practice Location Address
First Line : 7560 W SAHARA AVE STE 107
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2745
Country : US
Telephone Number : 702-476-2633
Fax Number : 702-979-1028
Authorized Official
Title or Position : DIRECTOR
Name : VERONICA PATRICIA SMITH
Credential : BCBA
Telephone Number : 702-476-6612
Provider Enumeration Date : 08/05/2013
Last Update Date : 06/28/2022

Similar Medicare Providers

1003763160 — ROZANA ATEEQ RBT
Practice Location Address:
7560 W SAHARA AVE STE 107
LAS VEGAS, NV
89117-2745
Practice Phone: 702-283-6215
Practice Fax: 702-979-1028
1942232434 — BLEND MARIE REYES
Practice Location Address:
7560 W SAHARA AVE STE 107
LAS VEGAS, NV
89117-2745
Practice Phone: 702-476-2633
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1336525898 — RACHEL LOZICH BCBA
Practice Location Address:
7560 W SAHARA AVE STE 107
LAS VEGAS, NV
89117-2745
Practice Phone: 702-476-2633
Practice Fax: 702-979-1028
1649626623 — MRS. DONNA TORDJMAN
Practice Location Address:
7560 W SAHARA AVE STE 107
LAS VEGAS, NV
89117-2745
Practice Phone: 702-283-6215
Practice Fax:
1568954972 — CORINA AVALOS
Practice Location Address:
7560 W SAHARA AVE STE 107
LAS VEGAS, NV
89117-2745
Practice Phone: 702-476-2633
Practice Fax: 702-979-1028
1881171056 — ANA KAREN LUJAN
Practice Location Address:
7560 W SAHARA AVE STE 107
LAS VEGAS, NV
89117-2745
Practice Phone: 702-476-2602
Practice Fax: 702-979-1028

Directions to “AUTISM & BEHAVIORAL CONSULTING SERVICES ” Practice Location

Language Start Address Practice Location
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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