Healthcare Provider Details

I. General information

NPI: 1023876760
Provider Name (Legal Business Name): ASPECTS UNLIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 N RANCHO DR STE 104
LAS VEGAS NV
89130-3153
US

IV. Provider business mailing address

5293 BRAZELTON ST
NORTH LAS VEGAS NV
89081-2458
US

V. Phone/Fax

Practice location:
  • Phone: 702-854-1870
  • Fax: 702-586-7860
Mailing address:
  • Phone: 702-234-7907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LATOYA HORTON
Title or Position: MANAGING MEMBER
Credential:
Phone: 702-234-7907