| Autism Care West | |
|
2500 Citrus Garden Cir Henderson NV 89052-2387 | |
| (702) 326-5996 | |
| (702) 912-4662 |
| Full Name | Autism Care West |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2500 Citrus Garden Cir, Henderson, Nevada |
| Authorized Official Name and Position | Charles E Marriott (OWNER, BEHAVIOR ANALYST) |
| Authorized Official Contact | 7023265996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Care West 2500 Citrus Garden Cir Henderson NV 89052-2387 Ph: (702) 326-5996 | Autism Care West 2500 Citrus Garden Cir Henderson NV 89052-2387 Ph: (702) 326-5996 |
| NPI Number | 1184006041 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184006041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | LBA0048 (Nevada) | Primary |
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