| NPI | 1013497452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALKIA LOCKETT Mgr/Mg 702-980-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-10-16 |