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NPI Code Detail

MEDICARE: ANDREA MICHELLE LEMUS CARPIO

MEDICARE: ANDREA MICHELLE LEMUS CARPIO
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 AnalystNV
2106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1881294528
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA MICHELLE LEMUS CARPIO
Provider Business Mailing Address
First Line : 3804 SEYFERT AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-5089
Country : US
Telephone Number : 323-301-0248
Fax Number :
Provider Business Practice Location Address
First Line : 7365 PRAIRIE FALCON RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0807
Country : US
Telephone Number : 702-766-9840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2020
Last Update Date : 10/11/2023

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Directions to “ ANDREA MICHELLE LEMUS CARPIO ” Practice Location

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