Beduya-Princer, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEDUYA-PRINCER, LLC

Doing business as

Envigor Medical And Behavioral Center

Practice address

8565 S Eastern Ave Ste 150
Las Vegas, NV 89123-2906

Phone

(702) 902-0225

NPI assigned

Dec 29, 2021

Last updated

Dec 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Tessie Beduya-Princer, MDNPI 1649249608

Title

Ceo

Phone

(702) 902-0225

Specialties & licenses 4

Addresses

Other names 1

• Envigor Medical And Behavioral Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Tessie Aroma Beduya-Princer, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1649249608

  Multi-Specialty

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1396405536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232906",
            "telephone_number": "702-902-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232906",
            "telephone_number": "702-902-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDUYA-PRINCER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "BEDUYA-PRINCER",
        "authorized_official_first_name": "MARIA TESSIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-902-0225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envigor Medical And Behavioral Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bedrock Medical LLC
• Lauren Victoria Bedrock, APRN
• Jeannette Bedros
• Revathi Bedudoori
• Beduya-Princer, LLC (Envigor Medical and Behavioral Center)
• Maria Tessie Aroma Beduya-Princer, M.D.
• Karla Bee, PA-C
• Michael D Beebe, PT
• James Edward Beecham, MD
• Nicole Beecher, M.S.

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.