Healthcare Provider Details

I. General information

NPI: 1063325256
Provider Name (Legal Business Name): LONDON HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 CORPORATE CIR STE 350
HENDERSON NV
89074-7714
US

IV. Provider business mailing address

4375 BOULDER HWY APT 158
LAS VEGAS NV
89121-3081
US

V. Phone/Fax

Practice location:
  • Phone: 702-901-5200
  • Fax:
Mailing address:
  • Phone: 619-204-7037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: