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NPI Code Detail

MEDICARE: CHINA MAXWELL BS

MEDICARE:   CHINA  MAXWELL  BS
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
2106E00000XAssistant Behavior AnalystLABA436NV

General Provider Information

NPI Number : 1912538224
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHINA MAXWELL BS
Provider Business Mailing Address
First Line : 7260 W AZURE DR STE 140-447
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7999
Country : US
Telephone Number : 702-789-7282
Fax Number :
Provider Business Practice Location Address
First Line : 555 N MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-3133
Country : US
Telephone Number : 702-789-7282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2020
Last Update Date : 03/19/2024

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Directions to “ CHINA MAXWELL BS” Practice Location

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