Provider Demographics
NPI:1588453591
Name:ZARAGOZA, BY-LANDA
Entity type:Individual
Prefix:
First Name:BY-LANDA
Middle Name:
Last Name:ZARAGOZA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3969 KAREN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-1743
Mailing Address - Country:US
Mailing Address - Phone:702-583-0453
Mailing Address - Fax:
Practice Address - Street 1:5135 CAMINO AL NORTE STE 230
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2391
Practice Address - Country:US
Practice Address - Phone:702-853-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI4502106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist