MEDICARE: LATONYA HOPKINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YM0800X	Mental Health Counselor
2	103K00000X	Behavior Analyst
3	103K00000X	Behavior Analyst	NV
4	171M00000X	Case Manager/Care Coordinator
5	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1750626610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATONYA HOPKINS

Provider Business Mailing Address
First Line	:	4429 LAWRENCE ST
Second Line	:	2060
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-3251
Country	:	US
Telephone Number	:	702-502-1038
Fax Number	:

Provider Business Practice Location Address
First Line	:	4429 LAWRENCE ST
Second Line	:	2060
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-3251
Country	:	US
Telephone Number	:	702-502-1038
Fax Number	:

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

Provider Enumeration Date	:	12/04/2012
Last Update Date	:	02/14/2019

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Directions to “ LATONYA HOPKINS ” Practice Location

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