MEDICARE: LEONA FUDGE

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

General Provider Information

NPI Number	:	1902323991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONA FUDGE

Provider Business Mailing Address
First Line	:	2551 S FORT APACHE RD STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-8700
Country	:	US
Telephone Number	:	702-824-3629
Fax Number	:

Provider Business Practice Location Address
First Line	:	2551 S FORT APACHE RD STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-8700
Country	:	US
Telephone Number	:	702-824-3629
Fax Number	:

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

Provider Enumeration Date	:	08/29/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1740144187 — TERESE ANDREWS IRBY
Practice Location Address:

2551 S FORT APACHE RD
LAS VEGAS, NV
89117-8700

Practice Phone: 702-385-0920
Practice Fax:

1235544412 — KAUWONNA THOMPSON
Practice Location Address:

2551 S FORT APACHE RD STE 102
LAS VEGAS, NV
89117-8700

Practice Phone: 702-385-0920
Practice Fax:

1003293937 — COMPASSION CREST LLC
Practice Location Address:

2551 S FORT APACHE RD STE 102
LAS VEGAS, NV
89117-8700

Practice Phone: 702-385-0920
Practice Fax: 702-518-6220

1437601440 — ANGEL HEART BEHAVIOR HEALTH LLC
Practice Location Address:

2551 S FORT APACHE RD STE 101
LAS VEGAS, NV
89117-8700

Practice Phone: 702-846-2686
Practice Fax:

1538688817 — ANGEL HEART BEHAVIOR HEALTH LLC
Practice Location Address:

2551 S FORT APACHE RD STE 101
LAS VEGAS, NV
89117-8700

Practice Phone: 702-846-2686
Practice Fax:

1437661774 — JENNIFER MURRELL
Practice Location Address:

2551 S FORT APACHE RD STE 102
LAS VEGAS, NV
89117-8700

Practice Phone: 702-846-2686
Practice Fax:

Directions to “ LEONA FUDGE ” 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.