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NPI Code Detail

MEDICARE: CASSANDRA BOZARTH

MEDICARE: CASSANDRA BOZARTH
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 Technician
2104100000XSocial Worker12909-MNV

General Provider Information

NPI Number : 1902527914
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA BOZARTH
Provider Business Mailing Address
First Line : 3016 W CHARLESTON BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1973
Country : US
Telephone Number : 702-253-0818
Fax Number :
Provider Business Practice Location Address
First Line : 6363 S PECOS RD STE 206
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-6293
Country : US
Telephone Number : 702-850-2691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2022
Last Update Date : 03/26/2026

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Directions to “ CASSANDRA BOZARTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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