What is Ivan Obedoza's NPI number?

Ivan Obedoza's National Provider Identifier (NPI) is 1720417926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ivan Obedoza's specialty?

Ivan Obedoza is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Ivan Obedoza located?

Ivan Obedoza's practice location on file with NPPES is 100 Saint Judes St, Boulder City, NV 89005-1614.

What is Ivan Obedoza's phone number?

The practice phone number listed in the NPPES registry for Ivan Obedoza is (702) 294-7100.

Is Ivan Obedoza's NPI active?

Yes — Ivan Obedoza's NPI (1720417926) is active in the NPPES registry as of the last update on 2013-11-07.

IndividualActive

Ivan Obedoza

NPI 1720417926 · Behavior Analyst · Boulder City, NV

Ivan Obedoza is a Behavior Analyst provider in Boulder City, NV (NPI 1720417926).

Provider details

NPI number: 1720417926
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior AnalystPrimary103K00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

100 Saint Judes St

Boulder City, NV 89005-1614

Phone: (702) 294-7100

Street-level locationGet directions

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Mailing address