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NPI Code Detail

MEDICARE: THERAPY MANAGEMENT GROUP

MEDICARE: THERAPY MANAGEMENT GROUP
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 Analyst1-13-12787NV
22080P0006XDevelopmental - Behavioral Pediatrics Physician14554NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972934255
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPY MANAGEMENT GROUP
Provider Business Mailing Address
First Line : 6465 W SAHARA AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3071
Country : US
Telephone Number : 702-595-5437
Fax Number : 702-425-2787
Provider Business Practice Location Address
First Line : 6465 W SAHARA AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3071
Country : US
Telephone Number : 702-595-5437
Fax Number : 702-425-2787
Authorized Official
Title or Position : DIRECTOR
Name : MARNIE LANCZ
Credential :
Telephone Number : 702-556-3132
Provider Enumeration Date : 12/11/2013
Last Update Date : 06/12/2025

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Directions to “THERAPY MANAGEMENT GROUP ” Practice Location

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