| Lovingly Behavioral Wellness LLC | |
|
6390 W Cheyenne Ave Ste D Las Vegas NV 89108-6009 | |
| (702) 763-5311 | |
| (702) 331-3066 |
| Full Name | Lovingly Behavioral Wellness LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6390 W Cheyenne Ave Ste D, Las Vegas, Nevada |
| Authorized Official Name and Position | Sandy Michelle Rodriguez (BCBA) |
| Authorized Official Contact | 7027635311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovingly Behavioral Wellness LLC 6390 W Cheyenne Ave Ste D Las Vegas NV 89108-6009 | Lovingly Behavioral Wellness LLC 6390 W Cheyenne Ave Ste D Las Vegas NV 89108-6009 Ph: (702) 763-5311 |
| NPI Number | 1073219143 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073219143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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