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NPI Code Detail

MEDICARE: BRIDGET ASHLEY HUDGENS RBT

MEDICARE: BRIDGET ASHLEY HUDGENS RBT
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 TechnicianRBT-17-41676NV

General Provider Information

NPI Number : 1881104479
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET ASHLEY HUDGENS RBT
Provider Business Mailing Address
First Line : 10181 TIMBER WILLOW AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-2014
Country : US
Telephone Number : 702-596-8674
Fax Number :
Provider Business Practice Location Address
First Line : 408 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2658
Country : US
Telephone Number : 702-502-8021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2017
Last Update Date : 10/09/2017

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Directions to “ BRIDGET ASHLEY HUDGENS RBT” Practice Location

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