Yesenia Avalos, LADC, CPGC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

00130 Issued in NV

Practice address

730 N Eastern Ave
Suite 130
Las Vegas, NV 89101-2883

Phone

(702) 598-2020

Fax

(702) 598-2018

NPI assigned

Dec 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1639448673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N EASTERN AVE",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012883",
            "telephone_number": "702-598-2020",
            "fax_number": "702-598-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N EASTERN AVE",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012883",
            "telephone_number": "702-598-2020",
            "fax_number": "702-598-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "YESENIA",
        "name_prefix": "Miss",
        "credential": "LADC, CPGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "00130",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "01245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lizeth Avalos
• Maria Avalos
• Maria Avalos
• Roxana Avalos
• Veronica Avalos
• Avana Personal Care
• Avana Personal Care, LLC
• Avana Personal Care, LLC
• Avana Personal Care, LLC
• Avana Plastic Surgery LLC

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.