| Lazos Behavioral Center Inc | |
|
730 N Eastern Ave Ste 120 Las Vegas NV 89101-2885 | |
| (170) 258-0185 | |
| Not Available |
| Full Name | Lazos Behavioral Center Inc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 730 N Eastern Ave Ste 120, Las Vegas, Nevada |
| Authorized Official Name and Position | Maria Fernanda Mitchell (DIRECTOR) |
| Authorized Official Contact | 7025801850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazos Behavioral Center Inc 4913 Sparkling Sky Ave Las Vegas NV 89130-7256 Ph: (170) 258-0185 | Lazos Behavioral Center Inc 730 N Eastern Ave Ste 120 Las Vegas NV 89101-2885 Ph: (170) 258-0185 |
| NPI Number | 1154075570 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154075570 | NPI | - | NPPES |
| 186-27-8662 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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