MEDICARE: HEALING HORIZONS WELLNESS CENTER

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1205788429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HORIZONS WELLNESS CENTER

Provider Business Mailing Address
First Line	:	3507 S MARYLAND PKWY STE A3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3030
Country	:	US
Telephone Number	:	702-574-1996
Fax Number	:	702-574-1996

Provider Business Practice Location Address
First Line	:	3507 S MARYLAND PKWY STE A3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3030
Country	:	US
Telephone Number	:	702-574-1996
Fax Number	:	702-574-1996

Authorized Official
Title or Position	:	OWNER
Name	:	JAVIANA PEREZ
Credential	:	PEREZ
Telephone Number	:	702-574-1996

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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