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1600 E Desert Inn Rd Ste 188 Las Vegas NV 89169-2505 | |
| (602) 434-3206 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1600 E Desert Inn Rd Ste 188, Las Vegas, Nevada |
| Authorized Official Name and Position | Mayen Akpan (MANAGER) |
| Authorized Official Contact | 6024343206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 E Desert Inn Rd Ste 188 Las Vegas NV 89169-2505 Ph: (602) 434-3206 | 1600 E Desert Inn Rd Ste 188 Las Vegas NV 89169-2505 Ph: (602) 434-3206 |
| NPI Number | 1295215721 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295215721 | NPI | - | NPPES |
| 1841737111 | Medicaid | NV | |
| 1134627276 | Medicaid | NV | |
| 1164926531 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Nevada) | Primary |
| 103K00000X | Behavior Analyst | (Arizona) | Secondary |
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