| Summerlin Aba Services Llc | |
|
1701 Desert Fort St Las Vegas NV 89128-8284 | |
| (702) 845-5773 | |
| Not Available |
| Full Name | Summerlin Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1701 Desert Fort St, Las Vegas, Nevada |
| Authorized Official Name and Position | Jocelyn Thomas (BILLER) |
| Authorized Official Contact | 2012410079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summerlin Aba Services Llc 1701 Desert Fort St Las Vegas NV 89128-8284 Ph: () - | Summerlin Aba Services Llc 1701 Desert Fort St Las Vegas NV 89128-8284 Ph: (702) 845-5773 |
| NPI Number | 1013717875 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013717875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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