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NPI Code Detail

MEDICARE: CHEQUOYA LE'NIECE GAITHER

MEDICARE:   CHEQUOYA LE'NIECE GAITHER
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 Analyst

General Provider Information

NPI Number : 1881183416
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEQUOYA LE'NIECE GAITHER
Provider Business Mailing Address
First Line : 6060 CONROE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-0105
Country : US
Telephone Number : 702-807-5039
Fax Number :
Provider Business Practice Location Address
First Line : 6060 CONROE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-0105
Country : US
Telephone Number : 702-807-5039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2018
Last Update Date : 05/09/2018

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Directions to “ CHEQUOYA LE'NIECE GAITHER ” Practice Location

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