OrganizationActive
State of Nevada
NPI 1962630855 · Early Intervention Provider Agency · Las Vegas, NV
Provider details
- NPI number
- 1962630855
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Janelle Mulvenon, Bureau Chief(775) 688-0327
Specialties & taxonomies
Agencies
Practice location
1161 S Valley View Blvd
Las Vegas, NV 89102-1854
Phone: (702) 486-7670
Approximate (ZIP-level) locationGet directions
Mailing address
1161 S Valley View Blvd
Las Vegas, NV 89102-1854
Registry dates
- Enumerated
- 2009-06-30
- Last updated
- 2009-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.