NPI 1114497237 · live from the CMS NPI Registry
Edy Agee
Behavior Technician in Las Vegas, NV. National Provider Identifier 1114497237, active.
NPI record
| NPI | 1114497237 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 700 W Van Buren Ave, Las Vegas, NV 89106 |
| Practice phone | 808-780-1218 |
| Enumerated | December 1, 2018 |
| Last updated | July 18, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Contractor | 171W00000X | — |
| Adult Companion | 372600000X | — |
| Technician, Personal Care Attendant | 3747P1801X | — |
| Home Health Aide | 374U00000X | — |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.