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NPI Code Detail

MEDICARE: AUTISM CARE WEST LLC

MEDICARE: AUTISM CARE WEST 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
1103K00000XBehavior AnalystLBAT021913NV

General Provider Information

NPI Number : 1578803623
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM CARE WEST LLC
Provider Business Mailing Address
First Line : 2075 E WINDMILL LN STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2085
Country : US
Telephone Number : 702-326-5996
Fax Number : 702-912-4662
Provider Business Practice Location Address
First Line : 2075 E WINDMILL LN STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2085
Country : US
Telephone Number : 702-326-5996
Fax Number : 702-912-4662
Authorized Official
Title or Position : PRACTICE MANAGER
Name : YELENA MARRIOTT
Credential :
Telephone Number : 702-326-5996
Provider Enumeration Date : 02/27/2013
Last Update Date : 09/16/2025

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Directions to “AUTISM CARE WEST LLC ” Practice Location

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