| Square One Llc. | |
|
4865 Crestside Dr Sparks NV 89436-3665 | |
| (907) 841-7494 | |
| Not Available |
| Full Name | Square One Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4865 Crestside Dr, Sparks, Nevada |
| Authorized Official Name and Position | Brittany Mach (OWNER) |
| Authorized Official Contact | 9078417494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Square One Llc. 4865 Crestside Dr Sparks NV 89436-3665 Ph: (907) 841-7494 | Square One Llc. 4865 Crestside Dr Sparks NV 89436-3665 Ph: (907) 841-7494 |
| NPI Number | 1841051968 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841051968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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