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NPI Code Detail

MEDICARE: PROTEUS THERAPEUTIC SOLUTIONS, INC

MEDICARE: PROTEUS THERAPEUTIC SOLUTIONS, INC
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 : 1922494442
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROTEUS THERAPEUTIC SOLUTIONS, INC
Provider Business Mailing Address
First Line : 4000 S EASTERN AVE STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0840
Country : US
Telephone Number : 702-966-3121
Fax Number :
Provider Business Practice Location Address
First Line : 4000 S EASTERN AVE STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0840
Country : US
Telephone Number : 702-966-3121
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. ANTHONY LEE
Credential :
Telephone Number : 702-966-3121
Provider Enumeration Date : 04/10/2015
Last Update Date : 04/10/2015

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Directions to “PROTEUS THERAPEUTIC SOLUTIONS, INC ” 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.