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General NPI Number Information
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NPI Number | 1033845821
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Entity Type | Organization
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Legal Business Name | HAPPY HEARTS LV
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 8072 W SAHARA AVE, STE D
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City | LAS VEGAS
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State | NV
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Zip | 89117-1974
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Country | US
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Telephone | 725-205-3628
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Fax | 702-552-2449
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Provider Business Mailing Address
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Address Line | 8072 W SAHARA AVE, STE D
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City | LAS VEGAS
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State | NV
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Zip | 89117-1974
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Country | US
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Telephone | 725-205-3628
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Fax | 702-552-2449
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | DR. PATRICK ALLEN LEYTHAM
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Credential | PHD, BCBA, LBA
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Telephone | 725-205-3628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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