NPI 1114459740 · live from the CMS NPI Registry
Innocent Akhidenor
Behavior Analyst in North Las Vegas, NV. National Provider Identifier 1114459740, active.
NPI record
| NPI | 1114459740 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2270 Losee Rd, North Las Vegas, NV 89030 |
| Practice phone | 702-399-1070 |
| Enumerated | April 2, 2017 |
| Last updated | April 2, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.