Provider Demographics
NPI:1790230449
Name:NERI, JOSHUA (CPC-I, CADC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:NERI
Suffix:
Gender:M
Credentials:CPC-I, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 S TONOPAH DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4013
Mailing Address - Country:US
Mailing Address - Phone:702-440-8440
Mailing Address - Fax:866-518-0781
Practice Address - Street 1:1800 INDUSTRIAL RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2685
Practice Address - Country:US
Practice Address - Phone:702-474-4104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV02077-I101YA0400X
NV103K00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst