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NPI Code Detail

MEDICARE: CHANTAL RAINFORD BCBA, LBA, MS

MEDICARE: CHANTAL RAINFORD BCBA, LBA, MS
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
1106E00000XAssistant Behavior Analyst16-7378NV
2103K00000XBehavior Analyst1-19-34900

General Provider Information

NPI Number : 1891218475
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTAL RAINFORD BCBA, LBA, MS
Provider Business Mailing Address
First Line : 7730 W SAHARA AVE STE 115
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2753
Country : US
Telephone Number : 702-660-2005
Fax Number : 702-660-4808
Provider Business Practice Location Address
First Line : 7730 W SAHARA AVE STE 115
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2753
Country : US
Telephone Number : 702-660-2005
Fax Number : 702-620-4808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2017
Last Update Date : 09/27/2022

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