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NPI Code Detail

MEDICARE: MALYNA LAROYA NERI M.S, BCBA, LBA, IBAO

MEDICARE:   MALYNA LAROYA NERI  M.S, BCBA, LBA, IBAO
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
1103K00000XBehavior AnalystLBA0379NV

General Provider Information

NPI Number : 1275994642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALYNA LAROYA NERI M.S, BCBA, LBA, IBAO
Provider Business Mailing Address
First Line : 8041 CAVAZZO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-3863
Country : US
Telephone Number : 702-561-5438
Fax Number :
Provider Business Practice Location Address
First Line : 6330 MCLEOD DR STE 4
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4431
Country : US
Telephone Number : 833-223-8326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2016
Last Update Date : 03/30/2026

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Directions to “ MALYNA LAROYA NERI M.S, BCBA, LBA, IBAO” Practice Location

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