| NPI | 1972934255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE LANCZ Director 702-556-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NV 14554) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV 1-13-12787) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |