Agape Behavioral Center

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

AGAPE BEHAVIORAL CENTER

Practice address

3620 N Rancho Dr
Ste. 103
Las Vegas, NV 89130-3155

Phone

(702) 656-5683

NPI assigned

Apr 10, 2013

Last updated

Apr 10, 2013By 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

Mr. Aveeon Noel Williams

Title

Basic Skills Trainer

Phone

(702) 372-8641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1972946804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 E CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153212",
            "telephone_number": "702-372-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N RANCHO DR",
            "address_2": "STE. 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303155",
            "telephone_number": "702-656-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE BEHAVIORAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AVEEON",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "BASIC SKILLS TRAINER",
        "authorized_official_telephone_number": "702-372-8641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jo R Aganad, RN
• Destiny Itohan Agans, BSN, RN
• Anson Agapay
• Agape Adc
• Agape Behavioral Center
• Agape Behavioral Health Center
• Agape BH&FS, LLC (Agape)
• Agape BHFS (Agape)
• Agape BHFS
• Agape BHFS LLC

• Clinical Child & Adolescent Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Child & Adolescent Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.