| NPI | 1780411512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATTA FLETCHER Administrator 702-408-9071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-06-30 |