Wellformed AI

NPI 1821408659 · live from the CMS NPI Registry

A New Start Health Care

Behavior Analyst in Las Vegas, NV. National Provider Identifier 1821408659, active.

NPI record

NPI1821408659 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location353 E Bonneville Ave Unit 123, Las Vegas, NV 89101
Practice phone702-882-5969
Mailing addressPo Box 72052, Las Vegas, NV 89170
EnumeratedMay 1, 2014
Last updatedAugust 11, 2014
Authorized officialMaricruz Rand, Admin

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Counselor101Y00000X—
Marriage & Family Therapist106H00000X—
Clinical Neuropsychologist103G00000X—
Behavior Analyst primary103K00000X1164832390 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.