Organization
BRAIN POWER MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINE HERNANDEZ (CEO)
(510) 456-8143
Entity
Organization
Contact information
Practice address
3430 E FLAMINGO RD STE 104, LAS VEGAS, NV 89121-5070
(702) 920-8596
Mailing address
3430 E FLAMINGO RD STE 104, LAS VEGAS, NV 89121-5070
(702) 920-8596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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