MEDICARE: JUSTINE ANNE ZARYCKI

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
1	103K00000X	Behavior Analyst	12258462

General Provider Information

NPI Number	:	1881129310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTINE ANNE ZARYCKI

Provider Business Mailing Address
First Line	:	9341 TONKAWA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-5510
Country	:	US
Telephone Number	:	571-327-9419
Fax Number	:

Provider Business Practice Location Address
First Line	:	8020 W SAHARA AVE STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7917
Country	:	US
Telephone Number	:	702-595-5437
Fax Number	:

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

Provider Enumeration Date	:	04/21/2017
Last Update Date	:	12/24/2025

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Directions to “ JUSTINE ANNE ZARYCKI ” Practice Location

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