Healthcare Provider Details

I. General information

NPI: 1235470931
Provider Name (Legal Business Name): MONICA ELIA SAINZ B.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 08/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 S 6TH ST
LAS VEGAS NV
89101-6922
US

IV. Provider business mailing address

716 S 6TH ST
LAS VEGAS NV
89101-6922
US

V. Phone/Fax

Practice location:
  • Phone: 702-382-1960
  • Fax:
Mailing address:
  • Phone: 702-382-1960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: