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7375 Prairie Falcon Rd Ste 150 Las Vegas NV 89128-0810 | |
| (702) 329-0125 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7375 Prairie Falcon Rd Ste 150, Las Vegas, Nevada |
| Authorized Official Name and Position | Rebecca Raynoha (OWNER) |
| Authorized Official Contact | 7023290125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 370846 Las Vegas NV 89137-0846 Ph: (702) 688-3230 | 7375 Prairie Falcon Rd Ste 150 Las Vegas NV 89128-0810 Ph: (702) 329-0125 |
| NPI Number | 1861181638 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861181638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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