NPI 1497475610 · live from the CMS NPI Registry
180 Community Wellness Centers, LLC
Behavior Analyst in North Las Vegas, NV. National Provider Identifier 1497475610, active.
NPI record
| NPI | 1497475610 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4344 W Cheyenne Ave, North Las Vegas, NV 89032 |
| Practice phone | 702-675-6314 |
| Enumerated | August 29, 2022 |
| Last updated | August 29, 2022 |
| Authorized official | Ericka Severs, Ceo |
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.