| Therapy Management Group | |
|
6465 W Sahara Ave Ste 103 Las Vegas NV 89146-3071 | |
| (702) 595-5437 | |
| (702) 425-2787 |
| Full Name | Therapy Management Group |
|---|---|
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 6465 W Sahara Ave Ste 103, Las Vegas, Nevada |
| Authorized Official Name and Position | Marnie Lancz (DIRECTOR) |
| Authorized Official Contact | 7025563132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Management Group 8020 W Sahara Ave Ste 160 Las Vegas NV 89117-7917 Ph: (702) 595-5437 | Therapy Management Group 6465 W Sahara Ave Ste 103 Las Vegas NV 89146-3071 Ph: (702) 595-5437 |
| NPI Number | 1972934255 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972934255 | NPI | - | NPPES |
| 100502120 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-12787 (Nevada) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 14554 (Nevada) | Primary |
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