MEDICARE: LATOYA D HORTON BCBA

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	103K00000X	Behavior Analyst	LBA0154	NV

General Provider Information

NPI Number	:	1285991794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA D HORTON BCBA

Provider Business Mailing Address
First Line	:	3620 N RANCHO DR.
Second Line	:	SUITE #104
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3153
Country	:	US
Telephone Number	:	702-854-1870
Fax Number	:	702-586-7860

Provider Business Practice Location Address
First Line	:	4348 W CHEYENNE AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-2484
Country	:	US
Telephone Number	:	702-825-1010
Fax Number	:	702-586-7860

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

Provider Enumeration Date	:	04/20/2012
Last Update Date	:	02/09/2026

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