Damon Lee
Individual provider Active NPI Behavior Analyst · Las Vegas, NV
NPI 1336831783 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1336831783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 4245 S Grand Canyon Dr Ste 226
Las Vegas, NV 89147-7162 - Phone
- (702) 751-0356
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
4245 S Grand Canyon Dr Ste 226
Las Vegas, NV 89147-7162
Mailing address
4245 S Grand Canyon Dr Ste 226
Las Vegas, NV 89147-7162
Phone (702) 751-0356
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 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.