Provider Demographics
NPI:1548519895
Name:THE LOVAAS CENTER FOR BEHAVIOR INTERVENTION, INC.
Entity type:Organization
Organization Name:THE LOVAAS CENTER FOR BEHAVIOR INTERVENTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-877-2520
Mailing Address - Street 1:5550 W. FLAMINGO ROAD SUITE C5
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103
Mailing Address - Country:US
Mailing Address - Phone:702-877-2520
Mailing Address - Fax:702-877-2521
Practice Address - Street 1:5550 W. FLAMINGO RD SUITE C5
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103
Practice Address - Country:US
Practice Address - Phone:702-877-2520
Practice Address - Fax:702-877-2521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-02
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center