| NPI | 1841800554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BROOKE KENYON Owner 702-339-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |