Provider Demographics
NPI:1134495781
Name:BARTOE, HEATHER LYN
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LYN
Last Name:BARTOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 ARCH STONE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-5095
Mailing Address - Country:US
Mailing Address - Phone:702-544-9420
Mailing Address - Fax:
Practice Address - Street 1:1828 ARCH STONE AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-5095
Practice Address - Country:US
Practice Address - Phone:702-544-9420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst