| |
9175 Las Vegas Blvd S Suite 110 Las Vegas NV 89123-3359 | |
(702) 240-9355 | |
Not Available |
Full Name | |
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Speciality | Behavior Analyst |
Location | 9175 Las Vegas Blvd S, Las Vegas, Nevada |
Authorized Official Name and Position | Leslie Askin-moreland (QUALIFIED MENTAL HEALTH PROFESSIONA) |
Authorized Official Contact | 7022409355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9175 Las Vegas Blvd S Suite 110 Las Vegas NV 89123-3359 Ph: (702) 240-9355 | 9175 Las Vegas Blvd S Suite 110 Las Vegas NV 89123-3359 Ph: (702) 240-9355 |
NPI Number | 1679888309 |
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Provider Enumeration Date | 08/18/2010 |
Last Update Date | 08/18/2010 |
Identifier | Type | State | Issuer |
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1679888309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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