Camilo Allen

Individual provider Active NPI Behavior Technician · Las Vegas, NV

NPI 1669023933 · NPPES record last updated Sep 26, 2019

Key facts

NPI
1669023933
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5550 W Flamingo Rd Ste C5
Las Vegas, NV 89103-0137
Phone
(702) 877-2520
NPI assigned
Sep 26, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Lovaas Center for Behavior Intervention, Inc. Past
since Sep 29, 2019
Accepting new patients
The Lovaas Center for Behavior Intervention Past
since Sep 29, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5550 W Flamingo Rd Ste C5
Las Vegas, NV 89103-0137

Mailing address

5550 W Flamingo Rd Ste C5
Las Vegas, NV 89103-0137
Phone (702) 877-2520

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Behavior Technician in Nevada

Sources for this page

Verify at the official NPI Registry.