Vira Affi
Individual provider Active NPI Behavior Analyst · Las Vegas, NV
NPI 1992074736 · NPPES record last updated Dec 23, 2011
Key facts
- NPI
- 1992074736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1691 Spotted Wolf Ave
Las Vegas, NV 89123 - Phone
- (702) 278-3104
- NPI assigned
- Dec 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1691 Spotted Wolf Ave
Las Vegas, NV 89123
Mailing address
1691 Spotted Wolf Ave
Las Vegas, NV 89123-4873
Phone (702) 278-3104
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2011. 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.