Healthcare Provider Details

I. General information

NPI: 1265395453
Provider Name (Legal Business Name): NATALY MONROY PEREZ I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1813 E BONANZA RD
LAS VEGAS NV
89101-3320
US

IV. Provider business mailing address

1813 E BONANZA RD
LAS VEGAS NV
89101-3320
US

V. Phone/Fax

Practice location:
  • Phone: 702-986-5820
  • Fax: 702-986-5820
Mailing address:
  • Phone: 702-986-5820
  • Fax: 702-986-5820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: