Individual ProviderJuanita Nelson-BrownBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address9044 Rusty Rifle Ave, Las Vegas, NV 89143-1165(702) 379-4260PECOS EnrollmentBased on the most recent information from CMS, provider Juanita Nelson-Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1447644067Provider TypeIndividualFull NameNelson-Brown, JuanitaGenderFemaleSole ProprietorYesEnumeration Date3/20/2015Last Updated8/10/2015Contact InformationPractice LocationPractice Address9044 Rusty Rifle Ave, Las Vegas, NV 89143-1165Phone(702) 379-4260FaxUnlisted FaxMailing LocationMailing Address9144 Rusty Riffle, Las Vegas, NV 89030Phone(702) 379-4260FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseMI0415NevadaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer