Organization
BRAIN POWER MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINE HERNANDEZ (MANAGING MEMBER)
(510) 456-8143
Entity
Organization
Contact information
Practice address
3430 E FLAMINGO RD STE 104, LAS VEGAS, NV 89121-5070
(510) 456-8143
Mailing address
3430 E FLAMINGO RD STE 104, LAS VEGAS, NV 89121-5070
(510) 456-8143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/14/2021
Last updated
06/09/2022
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