Organization · Type 2 NPI

Board of Regents Nevada System of Higher Education

Developmental - Behavioral Pediatrics Physician · Las Vegas, NV

NPI number 1295288553 Active

Practice location

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

Specialties and licenses

Taxonomy	Code	License
Clinical Neuropsychologist	103G00000X	None listed
Behavior Analyst	103K00000X	None listed
Social Worker	104100000X	None listed
Clinical Social Worker	1041C0700X	None listed
Adolescent Medicine (Internal Medicine) Physician	207RA0000X	None listed
Clinical Genetics (M.D.) Physician	207SG0201X	None listed
Pediatric Adolescent Medicine Physician	2080A0000X	None listed
Developmental - Behavioral Pediatrics Physician Primary	2080P0006X	None listed
Behavioral Neurology & Neuropsychiatry Physician	2084B0040X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed

Developmental - Behavioral Pediatrics Physician: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions…

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NPI record

NPI: 1295288553
Entity type: Organization (Type 2)
Issued: Aug 3, 2016
Last updated: Aug 3, 2016
Status: Active
Subpart: Yes of Board of Regents Nevada System of Higher Education

Other names

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Unlv Ackerman Center for Autism and Neurodeveloment Solutions · doing business as

Authorized official

Tracey Green, MD
Vice Dean of Clinical Affairs
(702) 998-9505

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295288553

Board of Regents Nevada System of Higher Education's National Provider Identifier is 1295288553, issued on Aug 3, 2016. The primary taxonomy on file is Developmental - Behavioral Pediatrics Physician (2080P0006X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 3, 2016.