| Bridge 2 Brilliance | |
|
9503 Violet Sunset Ave Las Vegas NV 89148-4246 | |
| (702) 885-7017 | |
| Not Available |
| Full Name | Bridge 2 Brilliance |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9503 Violet Sunset Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | London Hightower (OWNER/BCBA) |
| Authorized Official Contact | 7028857017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge 2 Brilliance 9503 Violet Sunset Ave Las Vegas NV 89148-4246 Ph: (702) 885-7017 | Bridge 2 Brilliance 9503 Violet Sunset Ave Las Vegas NV 89148-4246 Ph: (702) 885-7017 |
| NPI Number | 1700662095 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700662095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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