Steven Banda Jr.
Individual provider Active NPI Behavior Technician · Ely, NV
NPI 1740776285 · NPPES record last updated Jul 9, 2018
Key facts
- NPI
- 1740776285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 902 Ely St
Ely, NV 89301-1657 - Phone
- (702) 817-5329
- NPI assigned
- Jul 9, 2018
- Sex
- Male
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
902 Ely St
Ely, NV 89301-1657
Mailing address
902 Ely St
Ely, NV 89301-1657
Phone (702) 817-5329
Other providers in Ely, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 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.