| Advanced Pediatric Therapies, Llc | |
|
1625 E Prater Way Ste 107 Sparks NV 89434-8963 | |
| (775) 825-4744 | |
| (775) 351-1644 |
| Full Name | Advanced Pediatric Therapies, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1625 E Prater Way Ste 107, Sparks, Nevada |
| Authorized Official Name and Position | Colleen Baker (OFFICE MANAGER) |
| Authorized Official Contact | 7758254744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Pediatric Therapies, Llc 1625 E Prater Way Ste 107 Sparks NV 89434-8963 Ph: (775) 825-4744 | Advanced Pediatric Therapies, Llc 1625 E Prater Way Ste 107 Sparks NV 89434-8963 Ph: (775) 825-4744 |
| NPI Number | 1912587817 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912587817 | NPI | - | NPPES |
| 100506123 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
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