Provider Demographics
NPI:1881054930
Name:LIEGGI, FRANK
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:LIEGGI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7920 GORGAS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-5566
Mailing Address - Country:US
Mailing Address - Phone:702-715-4212
Mailing Address - Fax:
Practice Address - Street 1:4107 W CHEYENNE AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-3476
Practice Address - Country:US
Practice Address - Phone:702-715-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst