MEDICARE: MISTY HOPE SHOFFNER

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	LABAT052217	NV

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	:	1437583184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISTY HOPE SHOFFNER

Provider Business Mailing Address
First Line	:	2350 S JONES BLVD OFC 206-B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3103
Country	:	US
Telephone Number	:	702-496-1367
Fax Number	:	888-688-9464

Provider Business Practice Location Address
First Line	:	2350 S JONES BLVD OFC 206-B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3103
Country	:	US
Telephone Number	:	702-496-1367
Fax Number	:	888-688-9464

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

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	07/21/2022

Similar Medicare Providers

1982833778 — URBAN SOCIAL SERVICES CORP
Practice Location Address:

2350 S JONES BLVD , SUITE 227
LAS VEGAS, NV
89146-3103

Practice Phone: 702-214-2140
Practice Fax: 702-215-5801

1679880249 — STACEY J SHADOFF MFT
Practice Location Address:

2350 S JONES BLVD # 227
LAS VEGAS, NV
89146-3103

Practice Phone: 702-214-2140
Practice Fax: 702-215-5821

1033558333 — IASSIST HOME CARE, LLC
Practice Location Address:

2350 S JONES BLVD , SUITE A
LAS VEGAS, NV
89146-3103

Practice Phone: 702-769-5285
Practice Fax: 702-548-8843

1114341179 — TAKING CHARGE LLC
Practice Location Address:

2350 S JONES BLVD
LAS VEGAS, NV
89146-3103

Practice Phone: 702-900-7372
Practice Fax:

1376962910 — ETOIS GRIFFEN
Practice Location Address:

2350 S JONES BLVD
LAS VEGAS, NV
89146-3103

Practice Phone: 323-282-8083
Practice Fax: 702-586-6645

1154791713 — TRINA MORALES-JAMES
Practice Location Address:

2350 S JONES BLVD
LAS VEGAS, NV
89146-3103

Practice Phone: 702-215-5800
Practice Fax:

Directions to “ MISTY HOPE SHOFFNER ” 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.