John Emil Zetterholm
Individual provider Active NPI Behavior Technician · Las Vegas, NV
NPI 1073474151 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1073474151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB1414442 (NV)
- Practice address
- 1091 S Cimarron Rd Ste A5
Las Vegas, NV 89145-2445 - Phone
- (702) 992-7908
- NPI assigned
- Nov 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1414442 | NV | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | BACB1414442 | NV | Yes |
Addresses
Primary practice location
1091 S Cimarron Rd Ste A5
Las Vegas, NV 89145-2445
Mailing address
1091 S Cimarron Rd Ste A5
Las Vegas, NV 89145-2445
Phone (702) 992-7908
Other providers in Las Vegas, NV
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- Yunet Zerquera
- Zerrot
- Monica Zetino
- Alan Michael Zeto Jr.
- Trina Lorraine Zetts
- Brian Zevchak
- Leya Zewolde
- Elshan Zeynalov
- Ganon Esther Zeze
All providers in Las Vegas, NV · Behavior Technician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. 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.