Juan Jose Alcala
Individual provider Active NPI Behavior Analyst · North Las Vegas, NV
NPI 1003565193 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1003565193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1809 Stanley Ave
North Las Vegas, NV 89030-7025 - Phone
- (702) 325-4361
- NPI assigned
- Mar 23, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Behavioral Connections LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1809 Stanley Ave
North Las Vegas, NV 89030-7025
Mailing address
1809 Stanley Ave
North Las Vegas, NV 89030-7025
Phone (702) 325-4361
Other providers in North Las Vegas, NV
- Ocherie Alavar
- Jocelyn Alba
- Nicholas Albert
- Albertsons LLC
- Albertsons LLC
- Taylor Alderman
- Matthew Austin Aldridge
- Maite Alemany
- Golnaz R Alemi
- Michael Alemu
All providers in North Las Vegas, NV · Behavior Analyst in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.