Innocent Akhidenor
Individual provider Active NPI Behavior Analyst · North Las Vegas, NV
NPI 1114459740 · NPPES record last updated Apr 2, 2017
Key facts
- NPI
- 1114459740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2270 Losee Rd
North Las Vegas, NV 89030-4109 - Phone
- (702) 399-1070
- NPI assigned
- Apr 2, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
2270 Losee Rd
North Las Vegas, NV 89030-4109
Mailing address
2270 Losee Rd
North Las Vegas, NV 89030-4109
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- Raimundo Aja
- Deontay Akinson
- Margarita Akopian
- Mokhalad Al Marsoomi
- Shakir Al-Khaaliq
- Al-Nur Behavioral and Wellness Center
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 Apr 2, 2017. 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.