MEDICARE: PARADISE BEHAVIORAL CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist

General Provider Information

NPI Number	:	1023365293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARADISE BEHAVIORAL CARE, LLC

Provider Business Mailing Address
First Line	:	3225 MCLEOD DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2257
Country	:	US
Telephone Number	:	702-871-8535
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 MCLEOD DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2257
Country	:	US
Telephone Number	:	702-871-8535
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROSALBA HERNANDEZ
Credential	:
Telephone Number	:	702-871-8535

Provider Enumeration Date	:	08/07/2012
Last Update Date	:	08/07/2012

Similar Medicare Providers

1629310859 — EDWARD PEREZ
Practice Location Address:

3225 MCLEOD DR STE 100
LAS VEGAS, NV
89121-2257

Practice Phone: 702-871-8535
Practice Fax:

1437598018 — MR. MANUEL ABRAHAM MARTINEZ
Practice Location Address:

3225 MCLEOD DR , SUITE 100
LAS VEGAS, NV
89121-2257

Practice Phone: 702-871-8535
Practice Fax:

1144657750 — RYAN ANDREW MACCLARY
Practice Location Address:

3225 MCLEOD DR
LAS VEGAS, NV
89121-2257

Practice Phone: 702-326-7428
Practice Fax:

1487085635 — EDGAR KEVIN PEREZ
Practice Location Address:

3225 MCLEOD DR , PARADISE BEHAVIROAL
LAS VEGAS, NV
89121-2257

Practice Phone: 702-326-7428
Practice Fax:

1164843033 — MR. BRIAN PEREZ
Practice Location Address:

3225 MCLEOD DR
LAS VEGAS, NV
89121-2257

Practice Phone: 702-675-6300
Practice Fax:

1912322850 — CRYSTAL ANAHI ZAVALA
Practice Location Address:

3225 MCLEOD DR
LAS VEGAS, NV
89121-2257

Practice Phone: 702-675-6300
Practice Fax:

Directions to “PARADISE BEHAVIORAL CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.