Provider Demographics
NPI:1720818537
Name:COLOR ME A NEW WORLD
Entity type:Organization
Organization Name:COLOR ME A NEW WORLD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEW
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUENCHAROENWONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-820-8814
Mailing Address - Street 1:356 ESPRESSIVO ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-2684
Mailing Address - Country:US
Mailing Address - Phone:702-481-2502
Mailing Address - Fax:
Practice Address - Street 1:356 ESPRESSIVO ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-2684
Practice Address - Country:US
Practice Address - Phone:702-481-2502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty