Provider Demographics
NPI:1558009522
Name:MEJIA-AMAYA, ARLYNES
Entity Type:Individual
Prefix:
First Name:ARLYNES
Middle Name:
Last Name:MEJIA-AMAYA
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 1:6305 PAGEANT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-6300
Mailing Address - Country:US
Mailing Address - Phone:702-682-4987
Mailing Address - Fax:
Practice Address - Street 1:6305 PAGEANT ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-6300
Practice Address - Country:US
Practice Address - Phone:702-682-4987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician