MEDICARE: STANLEY YOUNGBLOOD

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	:	1528585189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY YOUNGBLOOD

Provider Business Mailing Address
First Line	:	3160 ORANGEWOOD LANE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5636 N. RANCHO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130
Country	:	US
Telephone Number	:	562-240-7719
Fax Number	:

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

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1447897392 — HANNAH NICOLE TESTER
Practice Location Address:

3680 N RANCHO DR
LAS VEGAS, NV
89130-3180

Practice Phone: 702-646-5437
Practice Fax:

1982568432 — TOM GODFREY DMD PLLC
Practice Location Address:

4818 W LONE MOUNTAIN RD
LAS VEGAS, NV
89130-2239

Practice Phone: 702-655-9533
Practice Fax: 702-655-9565

1265277719 — DR. QUINNETT SWANK EDD
Practice Location Address:

7495 W AZURE DR STE 204
LAS VEGAS, NV
89130-4423

Practice Phone: 702-490-9108
Practice Fax:

1710840020 — JAYNA TAU
Practice Location Address:

3065 N RANCHO DR STE 114
LAS VEGAS, NV
89130-3355

Practice Phone: 702-628-9968
Practice Fax:

1265395206 — GIANNA SHOBER
Practice Location Address:

3065 N RANCHO DR STE 114
LAS VEGAS, NV
89130-3355

Practice Phone: 702-628-9968
Practice Fax:

1679576755 — DAVID L KLAPPHOLZ CRNA
Practice Location Address:

4454 N DECATUR BLVD
LAS VEGAS, NV
89130-5286

Practice Phone: 702-839-1203
Practice Fax: 702-839-1301

1568469773 — ALOYCHA LI DE LA ROCHE APRN,BC
Practice Location Address:

6100 IRON KETTLE ST
LAS VEGAS, NV
89130-1065

Practice Phone: 702-308-0457
Practice Fax:

Directions to “ STANLEY YOUNGBLOOD ” 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.