Provider Demographics
NPI:1336798362
Name:LINDAMOOD, ALEXANDER (BEHAVIOR ANALYST)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:LINDAMOOD
Suffix:
Gender:M
Credentials:BEHAVIOR ANALYST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10655 PARK RUN DR STE 210
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-4590
Mailing Address - Country:US
Mailing Address - Phone:702-829-8929
Mailing Address - Fax:702-829-8948
Practice Address - Street 1:10655 PARK RUN DR STE 210
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-4590
Practice Address - Country:US
Practice Address - Phone:702-829-8929
Practice Address - Fax:702-829-8948
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0286103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
RBT-16-16229OtherRBT CREDENTIAL
NVRBT0475OtherBEHAVIOR TECHNICIAN