MEDICARE: LAISHA SANCHEZ ESPITIA

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
2	103K00000X	Behavior Analyst	LBA1074	NV

General Provider Information

NPI Number	:	1407609100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAISHA SANCHEZ ESPITIA

Provider Business Mailing 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	:

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	:

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

Provider Enumeration Date	:	04/10/2024
Last Update Date	:	04/20/2026

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Directions to “ LAISHA SANCHEZ ESPITIA ” Practice Location

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