180 Community Wellness Centers, LLC
Organization Active NPI Behavior Analyst · North Las Vegas, NV
NPI 1497475610 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1497475610
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- 180 COMMUNITY WELLNESS CENTERS, LLC
- Practice address
- 4344 W Cheyenne Ave
North Las Vegas, NV 89032-2484 - Phone
- (702) 675-6314
- Fax
- (702) 476-9697
- NPI assigned
- Aug 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Ericka L Severs, LCSW
- Title
- Ceo
- Phone
- (702) 675-6314
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 180 Community Wellness
Locations
4344 W Cheyenne Ave
North Las Vegas, NV 89032
Phone (702) 675-6314
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
4344 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Mailing address
4344 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Phone (702) 675-6314
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 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.