Provider Demographics
NPI:1861918658
Name:GRIFFIN, JOSHUA B
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:B
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 APPLEBLOSSOM TIME AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2380
Mailing Address - Country:US
Mailing Address - Phone:725-696-8146
Mailing Address - Fax:702-485-5400
Practice Address - Street 1:1045 APPLEBLOSSOM TIME AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2380
Practice Address - Country:US
Practice Address - Phone:725-696-8146
Practice Address - Fax:702-485-5400
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst