Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Youth Interalia

Organization Exercise & Sports Psychologist · NPI 1790282002

Community Youth Interalia is an Exercise & Sports Psychologist in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2018.

Licensed in
NV
In the registry since
2018

Practice location Address checks out

9082 Vintage Wine Ave
Las Vegas, NV 89148-4916
Phone: (702) 328-0459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exercise & Sports Psychologist (primary) Taxonomy 103TE1100X · Licence 667 (NV)

Record details

NPI number1790282002
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommunity Youth Interalia
Authorized official Jude Niba — President · (702) 328-0459
Other names Seao Interalia
NPI enumeratedApril 12, 2018
Last updated in NPPESApril 12, 2018
Mailing address9082 Vintage Wine Ave, Las Vegas, NV 89148-4916

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