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4315 N Rancho Dr Ste 110 Las Vegas NV 89130-3437 | |
| (702) 547-6971 | |
| (702) 547-6948 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4315 N Rancho Dr Ste 110, Las Vegas, Nevada |
| Authorized Official Name and Position | Robert M Schultz (CEO) |
| Authorized Official Contact | 7025476971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1060 Wigwam Pkwy Henderson NV 89074-8162 Ph: (702) 547-6971 | 4315 N Rancho Dr Ste 110 Las Vegas NV 89130-3437 Ph: (702) 547-6971 |
| NPI Number | 1447730718 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 07/24/2020 |
| Certification Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447730718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Nevada) | Primary |
| 106E00000X | Assistant Behavior Analyst | (Nevada) | Secondary |
| 106S00000X | Behavior Technician | (Nevada) | Secondary |
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