Dickerson, Shyndona Lynette

Dickerson, Shyndona Lynette is an sole proprietor health care provider with primary practice located at 2300 W Sahara Ave Ste 800 , Las Vegas NV 89102-4397. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Nursing Service Related Providers / Attendant Care Provider, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Dickerson, Shyndona Lynette can be contacted via phone (702) 604-2448.

Contact Information

Primary practice address
2300 W Sahara Ave Ste 800 Las Vegas NV 89102-4397
Phone: (702) 604-2448
Fax: (725) 605-5874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X CNA023075 Nevada
Agencies / Home Health 251E00000X 10472-PCS-0 Nevada

Profile Details

NPI number 1578071007
LBN Legal business name Dickerson, Shyndona Lynette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2018
Last updated Jan 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578071007 NPPES
Nevada MEDICAID 15272562

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