Provider Demographics
NPI:1275994642
Name:NERI, MALYNA LAROYA (MS, BCBA, LBA, IBAO)
Entity type:Individual
Prefix:
First Name:MALYNA
Middle Name:LAROYA
Last Name:NERI
Suffix:
Gender:
Credentials:MS, BCBA, LBA, IBAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8041 CAVAZZO AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-3863
Mailing Address - Country:US
Mailing Address - Phone:702-561-5438
Mailing Address - Fax:
Practice Address - Street 1:7260 W AZURE DR STE 140-447
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-7999
Practice Address - Country:US
Practice Address - Phone:702-789-7282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-14
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0379103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst