Organization · NPI-2

Board Of Regents Nevada System Of Higher Education

Pediatrics, Developmental - Behavioral Pediatrics · Las Vegas, NV

NPI number1295288553

StatusActive

Last updated in NPPESAug 3, 2016

Details

NPI: 1295288553
Entity type: Organization (NPI-2)
Legal business name: Board Of Regents Nevada System Of Higher Education
Organization subpart: Yes
Enumeration date: Aug 3, 2016
Last updated: Aug 3, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080P0006X	Pediatrics, Developmental - Behavioral Pediatrics	–	–	Yes
103G00000X	Clinical Neuropsychologist	–	–
103K00000X	Behavior Analyst	–	–
104100000X	Social Worker	–	–
1041C0700X	Social Worker, Clinical	–	–
207RA0000X	Internal Medicine, Adolescent Medicine	–	–
207SG0201X	Medical Genetics, Clinical Genetics (M.D.)	–	–
2080A0000X	Pediatrics, Adolescent Medicine	–	–
2084B0040X	Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry	–	–
2084P0804X	Psychiatry & Neurology, Child & Adolescent Psychiatry	–	–

Other names

Unlv Ackerman Center For Autism And Neurodeveloment Solutions (Doing Business As)

Practice location

630 S. Rancho, Ste. A
Las Vegas, NV 89106

Phone 702-998-9505

Mailing address

630 S. Rancho, Ste. A
Las Vegas, NV 89106

Phone 702-998-9505

Authorized official

Tracey Green
Vice Dean Of Clinical Affairs
7029989505

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