| NPI | 1871053231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIECE KERN Director/Provider 702-423-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2022-01-13 |