NPI 1174948160 · live from the CMS NPI Registry
Renise Anderson
Behavior Analyst in Las Vegas, NV. National Provider Identifier 1174948160, active.
NPI record
| NPI | 1174948160 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4285 N Rancho Dr Ste 130, Las Vegas, NV 89130 |
| Practice phone | 702-385-5678 |
| Mailing address | 5008 Tropical Glen Ct, Las Vegas, NV 89130 |
| Enumerated | February 27, 2014 |
| Last updated | February 27, 2014 |
| 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.