Healthcare Provider Details

I. General information

NPI: 1255809794
Provider Name (Legal Business Name): JOSEPH LIM BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2018
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5944 TRICKLING DESCENT ST UNIT 103
HENDERSON NV
89011-2098
US

IV. Provider business mailing address

5944 TRICKLING DESCENT ST UNIT 103
HENDERSON NV
89011-2098
US

V. Phone/Fax

Practice location:
  • Phone: 702-381-4126
  • Fax:
Mailing address:
  • Phone: 702-381-4126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-85014
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: