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7251 W Lake Mead Blvd Ste 300 Las Vegas NV 89128-8380 | |
| (702) 387-2300 | |
| (702) 387-2305 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7251 W Lake Mead Blvd Ste 300, Las Vegas, Nevada |
| Authorized Official Name and Position | Ranesha Tiana Edmondson (OWNER) |
| Authorized Official Contact | 7023872300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7251 W Lake Mead Blvd Ste 300 Las Vegas NV 89128-8380 Ph: (702) 387-2300 | 7251 W Lake Mead Blvd Ste 300 Las Vegas NV 89128-8380 Ph: (702) 387-2300 |
| NPI Number | 1417610585 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417610585 | NPI | - | NPPES |
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