Winford James Abraham Jr., RBT
Individual provider Active NPI Behavior Technician · Las Vegas, NV
NPI 1730769191 · NPPES record last updated Apr 10, 2021
Key facts
- NPI
- 1730769191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 408 S Jones Blvd
Las Vegas, NV 89107-2658 - Phone
- (702) 502-8021
- Fax
- (888) 688-9464
- NPI assigned
- Apr 10, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
408 S Jones Blvd
Las Vegas, NV 89107-2658
Mailing address
102 Basketflower CT
Las Vegas, NV 89183-5586
Phone (323) 841-2916
Other providers in Las Vegas, NV
- Abraham & Associates, LLC
- Adonai Abraham
- Harita Abraham
- Simon Zeray Abraham
- Tramika Abraham
- Lisa Abrahamian
- Louisa Abrahamian
- Benjamin Abrahams
- June Abrahamson
- Anna Abrahamyan-Smith
All providers in Las Vegas, NV · Behavior Technician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2021. 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.