Provider Demographics
NPI:1740679281
Name:BARRETT, LORINDA
Entity type:Individual
Prefix:
First Name:LORINDA
Middle Name:
Last Name:BARRETT
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 1:801 LAS VEGAS BLVD S
Mailing Address - Street 2:217
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6767
Mailing Address - Country:US
Mailing Address - Phone:702-417-2203
Mailing Address - Fax:
Practice Address - Street 1:801 LAS VEGAS BLVD S
Practice Address - Street 2:217
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6767
Practice Address - Country:US
Practice Address - Phone:702-417-2203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician