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NPI Code Detail

MEDICARE: JENNIFER MEHRINGER

MEDICARE: JENNIFER MEHRINGER
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 : 1912200155
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MEHRINGER
Provider Business Mailing Address
First Line : 6759 W CHARLESTON BLVD
Second Line : SUITE 130
City : LAS VEGAS
State : NV
Zip : 89146-2002
Country : US
Telephone Number : 702-467-1377
Fax Number : 702-586-0665
Provider Business Practice Location Address
First Line : 6759 W CHARLESTON BLVD
Second Line : SUITE 130
City : LAS VEGAS
State : NV
Zip : 89146-2002
Country : US
Telephone Number : 702-467-1377
Fax Number : 702-586-0665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2010
Last Update Date : 12/09/2010

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