NPI 1033401021
Bertha Jeanie Banks
Practice location
- Address
- 4435 Matinee Ave, N Las Vegas, NV 89031-0417
- Phone
- (702) 696-8091
- Mailing address
- 4435 Matinee Ave, N Las Vegas, NV 89031
Registered specialties (2)
Behavior Analyst
Primary
Psychologist
Registry record
- NPI
- 1033401021
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 May 2011
- Record last updated
- 9 May 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.