| Our Precious Daughter's Inc Dba Irise Foundation | |
|
3606 N Rancho Dr Ste 144 Las Vegas NV 89130-3196 | |
| (702) 334-3425 | |
| Not Available |
| Full Name | Our Precious Daughter's Inc Dba Irise Foundation |
|---|---|
| Speciality | Behavior Technician |
| Location | 3606 N Rancho Dr Ste 144, Las Vegas, Nevada |
| Authorized Official Name and Position | Sherrie Smith (FOUNDER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7023343425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Precious Daughter's Inc Dba Irise Foundation 6931 Denio Island St North Las Vegas NV 89084-4029 Ph: (702) 334-3425 | Our Precious Daughter's Inc Dba Irise Foundation 3606 N Rancho Dr Ste 144 Las Vegas NV 89130-3196 Ph: (702) 334-3425 |
| NPI Number | 1417778788 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417778788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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