Provider Demographics
NPI:1750726915
Name:PEOPLESBEHAVIOR
Entity type:Organization
Organization Name:PEOPLESBEHAVIOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PEOPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-834-0868
Mailing Address - Street 1:1121 W ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-2946
Mailing Address - Country:US
Mailing Address - Phone:702-677-5771
Mailing Address - Fax:
Practice Address - Street 1:1121 W ADAMS AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-2946
Practice Address - Country:US
Practice Address - Phone:702-677-5771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children