MEDICARE: LIZETT ORTEGA SERRANO

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1023506839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZETT ORTEGA SERRANO

Provider Business Mailing Address
First Line	:	2115 E. RUSSELL RD.
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120
Country	:	US
Telephone Number	:	702-848-1696
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 E. RUSSELL RD.
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120
Country	:	US
Telephone Number	:	702-848-1696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	04/26/2018

Similar Medicare Providers

1346033982 — TIERA NICOLE PURTER RBT
Practice Location Address:

2715 E RUSSELL RD
LAS VEGAS, NV
89120-2426

Practice Phone: 725-238-4115
Practice Fax:

1710842521 — HEATHER LYNN CARRILLO
Practice Location Address:

3175 E WARM SPRINGS RD STE 125
LAS VEGAS, NV
89120-3138

Practice Phone: 702-286-2987
Practice Fax:

1427855006 — LETICIA RIOS LMSW, CSW-I
Practice Location Address:

6402 MCLEOD DR STE 5
LAS VEGAS, NV
89120-4406

Practice Phone: 725-204-8809
Practice Fax:

1083331177 — LUX COMMUNITY SERVICES
Practice Location Address:

6295 HARRISON DR STE 4
LAS VEGAS, NV
89120-4057

Practice Phone: 252-226-2001
Practice Fax:

1184398588 — AALIYAH MOORE
Practice Location Address:

6363 S PECOS RD
LAS VEGAS, NV
89120-6290

Practice Phone: 702-850-2691
Practice Fax:

1215707849 — BRYANT COMMUNITY OUTREACH LLC
Practice Location Address:

3430 E RUSSELL RD STE 301-122
LAS VEGAS, NV
89120-2201

Practice Phone: 702-684-9206
Practice Fax:

1972466621 — JANELLE THOMPSON
Practice Location Address:

3430 E RUSSELL RD STE AND315
LAS VEGAS, NV
89120-2201

Practice Phone: 725-238-6990
Practice Fax: 207-510-0562

Directions to “ LIZETT ORTEGA SERRANO ” 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 © 2007-2026 (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.