AGAPE BEHAVIORAL CENTER (NPI# 1972946804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972946804 |
| Entity Type | Organization |
| Organization Name | AGAPE BEHAVIORAL CENTER |
| Practice Address |
3620 N Rancho Dr Ste. 103 Las Vegas NV 89130-3155 |
| Mailing Address |
3985 E Cheyenne Ave Las Vegas NV 89115-3212 |
| Practice Telephone | 7026565683 |
| Mailing Telephone | 7023728641 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |
| Authorized Official Name | MR. AVEEON NOEL WILLIAMS (BASIC SKILLS TRAINER) |
| Authorized Official Telephone | 7023728641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225452493 | Agape Behavioral Center | Community/Behavioral Health | 9025 W Desert Inn Rd Apt 154, Las Vegas, NV 89117-6306 | 2014-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AGAPE BEHAVIORAL CENTER | 3620 N Rancho Dr Ste 107, Las Vegas, NV 89130-3153 |
| Street Address |
3620 N RANCHO DR STE. 103 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154611713 | Starese Delgado | Rehabilitation Practitioner | 3620 N Rancho Dr, Suite 111, Las Vegas, NV 89130-3155 | 2011-04-15 |
| 1033755764 | Asia Jefferson | Rehabilitation Practitioner | 3620 N Rancho Dr, Las Vegas, NV 89130-3155 | 2019-11-18 |
| 1114459153 | Renee Nakamura | Rehabilitation Practitioner | 3620 N Rancho Dr, Suite107, Las Vegas, NV 89130-3155 | 2017-03-29 |
| 1871043687 | Cssi Behavioral Health Services | Home Health | 3620 N Rancho Dr, Suite 111, Las Vegas, NV 89130-3155 | 2016-10-05 |
| 1053789552 | Patricia Blackmore | Rehabilitation Practitioner | 3620 N Rancho Dr, Ste.103, Las Vegas, NV 89130-3155 | 2015-09-14 |
| 1508246893 | Latasha Chilton | Rehabilitation Practitioner | 3620 N Rancho Dr, 113, Las Vegas, NV 89130-3155 | 2015-06-02 |
| 1255774378 | Ginger Tahja Johnson | Rehabilitation Practitioner | 3620 N Rancho Dr, 3620 N. Rancho Ste.103, Las Vegas, NV 89130-3155 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316495583 | Each Child An Achiever Corporation | Psychologist | 1225 E Hacienda Ave, #2, Las Vegas, NV 89119-5027 | 2016-09-16 |
| 1730505553 | Alexis Manning-espinda | Psychologist | 1550 Lorilyn Ave Unit 2, Las Vegas, NV 89119-7662 | 2014-03-17 |
| 1588087860 | Tonya Cooper | Psychologist | 2701 N Decatur Blvd Apt 1055, Las Vegas, NV 89108-2969 | 2014-01-22 |
| 1609298256 | Cynthia Bolden | Psychologist | 1957 Susan St, Las Vegas, NV 89106-2654 | 2014-01-16 |
| 1700217031 | Adrian Brown | Psychologist | 5824 W Oakey Blvd, Las Vegas, NV 89146-1243 | 2013-12-12 |
| 1275871238 | Porscha Menyweather | Psychologist | 4316 E Tropicana Ave, Las Vegas, NV 89121-6704 | 2013-01-26 |
| 1689918054 | Tangy Denise Goffner | Psychologist | 1129 W Monroe Ave, Las Vegas, NV 89106-2914 | 2012-11-24 |
| 1538461934 | Kenneth Mckay Ltd. | Psychologist | 800 N Rainbow Blvd Ste 170, Las Vegas, NV 89107-1189 | 2010-11-17 |
| 1619250453 | Adam Batchelder | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2011-09-27 |
| 1972886711 | Amanda Platter | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2011-09-27 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.