Healthcare Provider Details

I. General information

NPI: 1942815881
Provider Name (Legal Business Name): A BETTER WAY BEHAVIORAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1064 E SAHARA AVE STE H
LAS VEGAS NV
89104-3220
US

IV. Provider business mailing address

1064 E SAHARA AVE STE H
LAS VEGAS NV
89104-3220
US

V. Phone/Fax

Practice location:
  • Phone: 702-806-1456
  • Fax:
Mailing address:
  • Phone: 702-806-1456
  • Fax: 725-204-0788

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 Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: BARON MENDIOLA
Title or Position: PRESIDENT
Credential:
Phone: 702-806-1456