| NPI | 1841969383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANN CAVENAGH Licensed Psychologist 702-912-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |