Healthcare Provider Details

I. General information

NPI: 1134069909
Provider Name (Legal Business Name): CLINICAL BEHAVIORAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 E FLAMINGO RD STE 217
LAS VEGAS NV
89121-5096
US

IV. Provider business mailing address

3430 E FLAMINGO RD STE 217
LAS VEGAS NV
89121-5096
US

V. Phone/Fax

Practice location:
  • Phone: 725-249-3531
  • Fax:
Mailing address:
  • Phone: 725-249-3531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KYALA H HERRING
Title or Position: MANAGING MEMBER
Credential:
Phone: 725-249-3531