Provider Demographics
NPI:1033305131
Name:HUGHES-LIKA, JAMIE MICHELLE (PHD, BCBA-D, LBA)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:MICHELLE
Last Name:HUGHES-LIKA
Suffix:
Gender:F
Credentials:PHD, BCBA-D, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9163 W FLAMINGO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6458
Mailing Address - Country:US
Mailing Address - Phone:702-375-4461
Mailing Address - Fax:866-611-9495
Practice Address - Street 1:9163 W FLAMINGO RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-6458
Practice Address - Country:US
Practice Address - Phone:702-375-4461
Practice Address - Fax:866-611-9495
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1-04-1911103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVLBAT041816OtherLICENSED BEHAVIOR ANALYST (LBA)