Healthcare Provider Details

I. General information

NPI: 1033845821
Provider Name (Legal Business Name): HAPPY HEARTS LV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8072 W SAHARA AVE, STE D
LAS VEGAS NV
89117-1974
US

IV. Provider business mailing address

8072 W SAHARA AVE, STE D
LAS VEGAS NV
89117-1974
US

V. Phone/Fax

Practice location:
  • Phone: 725-205-3628
  • Fax: 702-552-2449
Mailing address:
  • Phone: 725-205-3628
  • Fax: 702-552-2449

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

VIII. Authorized Official

Name: DR. PATRICK ALLEN LEYTHAM
Title or Position: OWNER, DIRECTOR
Credential: PHD, BCBA, LBA
Phone: 725-205-3628