MEDICARE: LAURA ELIZABETH MALSTROM

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	:	1952695363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ELIZABETH MALSTROM

Provider Business Mailing Address
First Line	:	5410 LA PALOMAS CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-1916
Country	:	US
Telephone Number	:	702-370-7477
Fax Number	:	702-269-0522

Provider Business Practice Location Address
First Line	:	5410 LA PALOMAS CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-1916
Country	:	US
Telephone Number	:	702-370-7477
Fax Number	:	702-269-0522

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

Provider Enumeration Date	:	06/02/2011
Last Update Date	:	06/02/2011

Similar Medicare Providers

1831528439 — SHATOYA JIMERSON
Practice Location Address:

1916 SNOWFIRE AVE
NORTH LAS VEGAS, NV
89032-0237

Practice Phone: 702-815-1550
Practice Fax:

1902290653 — IDELL BLAKE
Practice Location Address:

1916 TOSCANINI WAY
NORTH LAS VEGAS, NV
89032-0651

Practice Phone: 702-690-5422
Practice Fax:

1245084110 — CHRISTINE MARIE PADILLA FNP-C
Practice Location Address:

1916 MONTEZUMA ST
LAS VEGAS, NM
87701-3633

Practice Phone: 505-617-1112
Practice Fax: 505-454-2497

1053122416 — ESMERALDA BARRIOS
Practice Location Address:

1916 KRYPTON CIR
LAS VEGAS, NV
89108-2746

Practice Phone: 702-503-6451
Practice Fax:

1053126425 — MCLV INNOVATION ENTERPRISES INC
Practice Location Address:

3950 E SUNSET RD STE 116
LAS VEGAS, NV
89120-4906

Practice Phone: 702-665-5785
Practice Fax: 702-665-6269

1851248900 — ESTHER KIM
Practice Location Address:

3920 E PATRICK LN # 105
LAS VEGAS, NV
89120-3927

Practice Phone: 702-848-2015
Practice Fax:

Directions to “ LAURA ELIZABETH MALSTROM ” 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.