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IVAN OBEDOZA
NPI 1720417926
Behavior Analyst in Boulder City, NV

Active since November 07, 2013
100 SAINT JUDES ST, BOULDER CITY, NV 89005(702) 294-7100 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivan Obedoza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN OBEDOZA (NPI 1720417926) is an individual behavior analyst provider in Boulder City, Nevada and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1720417926
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameIVAN OBEDOZA
Location Address100 SAINT JUDES STBoulder City, NV 89005-1614
Mailing Address100 Saint Judes StBoulder City, NV 89005-1614 · (702) 294-7100
Phone(702) 294-7100
Sole ProprietorNo
Enumeration DateNovember 7, 2013
✔ NPI 1720417926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
100 SAINT JUDES ST, Boulder City, NV 89005
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FATIMA PARKER
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7100
LYN HALL
Counselor (Professional)
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7188
CANDIS COPE
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 229-4710
ST. JUDE'S RANCH FOR CHILDREN
Residential Treatment Facility, Emotionally Disturbed Children
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7101
IRENE LOVELACE
Rehabilitation Practitioner
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7187
TERRANCE COCKRELL
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7100
SHELLIE GIBSON
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7100
ADRIAN WEST
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Obedoza's NPI number?

The NPI number for Ivan Obedoza is 1720417926. It was assigned to this individual provider in the NPPES registry on November 7, 2013.

Where is Ivan Obedoza located?

Ivan Obedoza practices at 100 Saint Judes St, Boulder City, NV 89005. The listed phone number is (702) 294-7100.

What is Ivan Obedoza's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Ivan Obedoza was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.