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Dominic James Sturdivant I
Personal Care Attendant in North Las Vegas, Nevada
NPI 1134761406

Dominic James Sturdivant I is a Personal Care Attendant based in North Las Vegas, NV and is specialized in Personal Care Attendant. Dominic James Sturdivant I practices in North Las Vegas, NV. The NPI Number for Dominic James Sturdivant I is 1134761406 and holds a License No. (Nevada).

The current practice location address for Dominic James Sturdivant I is 4017 Fabulous Finches Ave, North Las Vegas, NV and can be reached out via phone at 702-384-2273.

Location: 4017 Fabulous Finches Ave, North Las Vegas, NV, 89084-4808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134761406
Provider Name
Dominic James Sturdivant I
Credential
Provider Entity Type
Individual
Gender
Male
Address
4017 Fabulous Finches Ave, North Las Vegas, NV, 89084-4808
Phone Number
702-384-2273
Fax Number
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4017 Fabulous Finches Ave
City
North Las Vegas
State
Nevada
Zip
89084-4808
Phone Number
702-384-2273
Fax Number
person
Provider Business Mailing Address Details
Address
4017 Fabulous Finches Ave
City
North Las Vegas
State
Nevada
Zip
89084-4808
Phone Number
702-384-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
(Nevada)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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