NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC (NORTHWEST ACADEMY) - NPI NUMBER 1134475460

Summary

Provider Name: NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC (NORTHWEST ACADEMY)

NPI Number: 1134475460

Clasification: Behavioral Analyst (103K00000X)

Address:
1472 S HIGHWAY 373
HCR 70 BOX 531
AMARGOSA VALLEY, NV
ZIP 89020

Phone Number: (775) 372-1199



Detailed Information

NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC is a behavioral analyst in Amargosa Valley, NV. The provider is a Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma. The assigned NPI number for this provider is 1134475460 and is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northwest Academy.

The provider's business address is:

1472 S HIGHWAY 373
HCR 70 BOX 531
AMARGOSA VALLEY, NV
ZIP 89020-514
Phone: (775) 372-1199
Fax: (775) 372-1196

The provider's authorized official is Marcel Chappuis .
The authorized official title is Director and has the following contact phone number (775) 372-1199.

The enumeration date for this NPI number is 7/24/2012 and was last updated on 7/24/2012.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1144592031 BOGUSLAWA GARRETT
Behavioral Analyst
1194000141 JILL ANNE HANDLEY, B.S.
Behavioral Analyst
1134484470 NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC
Behavioral Analyst

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103K00000X Behavioral Analyst NV Yes

NPI Record

No. Field Name Field Value
1 NPI 1134475460
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name NORTHWEST ASSOCIATES PSYCHOLOGICAL LLC
5 Provider Other Organization Name NORTHWEST ACADEMY
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 1472 S HIGHWAY 373
8 Provider Second Line Business Practice Location Address HCR 70 BOX 531
9 Provider Business Practice Location Address City Name AMARGOSA VALLEY
10 Provider Business Practice Location Address State Name NV
11 Provider Business Practice Location Address Postal Code 890201514
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 7753721199
14 Provider Business Practice Location Address Fax Number 7753721196
15 Provider Enumeration Date 7/24/2012
16 Last Update Date 7/24/2012
17 Authorized Official Last Name CHAPPUIS
18 Authorized Official First Name MARCEL
19 Authorized Official Title or Position DIRECTOR
20 Authorized Official Telephone Number 7753721199
21 Healthcare Provider Taxonomy Code 1 103K00000X
22 Provider License Number State Code 1 NV
23 Healthcare Provider Primary Taxonomy Switch 1 Y
24 Is Organization Subpart N
25 Authorized Official Name Prefix Text DR.
26 Authorized Official Credential Text PH.D.
27 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.