MEDICARE: YOUR CHOICE BEHAVIORIAL

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	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	2001065320	NV

General Provider Information

NPI Number	:	1760763783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR CHOICE BEHAVIORIAL

Provider Business Mailing Address
First Line	:	3785 E SUNSET RD
Second Line	:	STE. A - 10
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-6259
Country	:	US
Telephone Number	:	702-538-9474
Fax Number	:

Provider Business Practice Location Address
First Line	:	3785 E SUNSET RD
Second Line	:	STE. A - 10
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-6259
Country	:	US
Telephone Number	:	702-538-9474
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. LARRY CLARK
Credential	:
Telephone Number	:	702-538-9474

Provider Enumeration Date	:	09/03/2011
Last Update Date	:	09/03/2011

Similar Medicare Providers

1881790160 — JOHN R ORMAND D.C.
Practice Location Address:

3785 E SUNSET RD , SUITE 10
LAS VEGAS, NV
89120-6259

Practice Phone: 702-458-4744
Practice Fax: 702-458-8620

1265725121 — YOUR CHOIC BEHAVIORAL
Practice Location Address:

3785 E SUNSET RD , SUITE # A-10
LAS VEGAS, NV
89120-6259

Practice Phone: 702-985-2345
Practice Fax: 702-834-8437

1801176839 — YOUR CHOICE BEHAVIOR
Practice Location Address:

3785 E SUNSET RD # A-10
LAS VEGAS, NV
89120-6259

Practice Phone: 702-985-2345
Practice Fax:

1356625743 — MS. JOYCE JOHNSON
Practice Location Address:

3785 E SUNSET RD , SUITE A-10
LAS VEGAS, NV
89120-6259

Practice Phone: 702-985-2345
Practice Fax:

1215562806 — MS. MELLAKNESE MOORE CPC-I, MS,ICADC, BSB
Practice Location Address:

3785 E SUNSET RD
LAS VEGAS, NV
89120-6259

Practice Phone: 702-482-9620
Practice Fax:

1184394322 — BRETT SNELL
Practice Location Address:

3785 E SUNSET RD
LAS VEGAS, NV
89120-6259

Practice Phone: 602-561-2534
Practice Fax:

Directions to “YOUR CHOICE BEHAVIORIAL ” 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 © 2007-2026 (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.