Individual
BARRY NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4520 S PECOS RD STE 3, LAS VEGAS, NV 89121-5937
(702) 485-2191
Mailing address
6501 W CHARLESTON BLVD APT 170, LAS VEGAS, NV 89146-1096
(725) 200-9541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225400000X
REHABILITATION PRACTIONER
NV
Enumeration date
10/11/2011
Last updated
03/17/2018
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