Patricia Renee Combs
Individual provider Active NPI Behavior Analyst · Walker Lake, NV
NPI 1306347240 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1306347240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 137 Summit View Dr
Walker Lake, NV 89415-9642 - Phone
- (775) 530-5655
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
137 Summit View Dr
Walker Lake, NV 89415-9642
Mailing address
137 Summit View Dr
Walker Lake, NV 89415-9642
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.