| Agape House | |
|
94 Ancient Hills Ln Henderson NV 89074-1750 | |
| (702) 401-9314 | |
| (702) 475-6845 |
| Full Name | Agape House |
|---|---|
| Speciality | Behavior Analyst |
| Location | 94 Ancient Hills Ln, Henderson, Nevada |
| Authorized Official Name and Position | Dennis Gray (DIRECTOR) |
| Authorized Official Contact | 7024019314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape House 94 Ancient Hills Ln Henderson NV 89074-1750 Ph: (702) 401-9314 | Agape House 94 Ancient Hills Ln Henderson NV 89074-1750 Ph: (702) 401-9314 |
| NPI Number | 1740564699 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 10/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740564699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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