| Opw | |
|
2881 S Valley View Blvd Suite #25 Las Vegas NV 89102-0100 | |
| (702) 275-5190 | |
| (702) 430-1265 |
| Full Name | Opw |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2881 S Valley View Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Reese Lamounte Thomas-mcdade (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7022755190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opw 4559 Sparwood Dr Las Vegas NV 89147-8212 Ph: (702) 275-5190 | Opw 2881 S Valley View Blvd Suite #25 Las Vegas NV 89102-0100 Ph: (702) 275-5190 |
| NPI Number | 1275824195 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275824195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 103K00000X (Nevada) | Primary |
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