| Broken To Art Llc | |
|
304 S Jones Blvd Las Vegas NV 89107-2623 | |
| (702) 578-1933 | |
| Not Available |
| Full Name | Broken To Art Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 304 S Jones Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Robert Taylor (BCBA) |
| Authorized Official Contact | 7022022998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broken To Art Llc 304 S Jones Blvd Las Vegas NV 89107-2623 Ph: (702) 202-2998 | Broken To Art Llc 304 S Jones Blvd Las Vegas NV 89107-2623 Ph: (702) 578-1933 |
| NPI Number | 1528731999 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528731999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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