MEDICARE: LIFEABA LLC

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

General Provider Information

NPI Number	:	1316514318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEABA LLC

Provider Business Mailing Address
First Line	:	6441 PEARCREST RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-5308
Country	:	US
Telephone Number	:	702-465-2819
Fax Number	:

Provider Business Practice Location Address
First Line	:	6441 PEARCREST RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-5308
Country	:	US
Telephone Number	:	702-465-2819
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW SOSA
Credential	:	BCBA LBA
Telephone Number	:	702-465-2819

Provider Enumeration Date	:	06/08/2021
Last Update Date	:	06/08/2021

Similar Medicare Providers

1265886089 — MATTHEW SOSA
Practice Location Address:

6441 PEARCREST RD
LAS VEGAS, NV
89108-5308

Practice Phone: 702-465-2819
Practice Fax:

1356851125 — ZACHARY M BURROWS BCBA 1-25-81071
Practice Location Address:

6441 PEARCREST RD
LAS VEGAS, NV
89108-5308

Practice Phone: 702-670-0440
Practice Fax:

1679804843 — MEDLAB LLC
Practice Location Address:

2860 S JONES BLVD , 2
LAS VEGAS, NV
89146-5308

Practice Phone: 702-834-7600
Practice Fax: 702-834-7602

1922526755 — PAIN CARE INNOVATION LLC
Practice Location Address:

222 KAREN AVE UNIT 3305
LAS VEGAS, NV
89109-5308

Practice Phone: 510-593-6195
Practice Fax:

1083304497 — MARK J. LANZ
Practice Location Address:

3251 KEY LARGO DR APT 102
LAS VEGAS, NV
89120-5308

Practice Phone: 702-731-1838
Practice Fax:

1043026594 — TINA MARIA LUCAS RD
Practice Location Address:

5308 RED GLORY DR
LAS VEGAS, NV
89130-5318

Practice Phone: 813-679-8846
Practice Fax:

Directions to “LIFEABA LLC ” 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 © 2007-2025 (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.