MEDICARE: MS. KRISTY ROSE SICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013474295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTY ROSE SICA

Provider Business Mailing Address
First Line	:	8174 LAS VEGAS BLVD S # 96
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1029
Country	:	US
Telephone Number	:	702-986-3969
Fax Number	:

Provider Business Practice Location Address
First Line	:	5370 ANGLER CIR UNIT 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7342
Country	:	US
Telephone Number	:	702-986-3969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2019
Last Update Date	:	02/25/2019

Similar Medicare Providers

1942491592 — FLAGG LLC D/B/A REALITY RECOVERY
Practice Location Address:

3520 E TROPICANA AVE , SUITE E
LAS VEGAS, NV
89121-7342

Practice Phone: 702-434-4029
Practice Fax: 702-434-4033

1245662758 — MR. CHIP STEWART LYDICK
Practice Location Address:

8205 AYLESBURY AVE
LAS VEGAS, NV
89129-7342

Practice Phone: 702-443-8632
Practice Fax: 702-586-7183

1538037593 — INNER HARMONY MENTAL HEALTH CENTER LLC
Practice Location Address:

3520 E TROPICANA AVE STE D
LAS VEGAS, NV
89121-7342

Practice Phone: 702-741-1590
Practice Fax:

1275169013 — JOYCE CARLOS DAMIANO APRN, MSN, FNP-BC
Practice Location Address:

6360 BOULDER HWY
LAS VEGAS, NV
89122-7301

Practice Phone: 725-228-4520
Practice Fax: 877-889-5390

1578495578 — ERIKA BELEN VACA
Practice Location Address:

5251 EMELITA ST
LAS VEGAS, NV
89122-7656

Practice Phone: 702-582-4201
Practice Fax:

1376514646 — MARK ZIMMERMAN M.D.
Practice Location Address:

5967 SUN APPELLO AVE
LAS VEGAS, NV
89122-3447

Practice Phone: 702-489-5120
Practice Fax: 702-489-5120

Directions to “ MS. KRISTY ROSE SICA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.