Organization
LAZOS BEHAVIORAL CENTER INC
Active
Other names
Lazo
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FERNANDA MITCHELL (DIRECTOR)
(702) 580-1850
Entity
Organization
Contact information
Practice address
730 N EASTERN AVE STE 120, LAS VEGAS, NV 89101-2885
(170) 258-0185
Mailing address
4913 SPARKLING SKY AVE, LAS VEGAS, NV 89130-7256
(170) 258-0185
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186-27-8662
—
NV
Enumeration date
02/04/2022
Last updated
02/04/2022
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