180 Community Wellness Centers, LLC
Behavior Analyst in North Las Vegas, NV. Organization (NPI-2).
NPI number1497475610
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1497475610
- Entity type
- Organization (NPI-2)
- Legal business name
- 180 Community Wellness Centers, LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Jul 4, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
4344 W Cheyenne AveNorth Las Vegas, NV 89032-2484
Phone 702-675-6314 · Fax 702-476-9697
Mailing address
4344 W Cheyenne AveNorth Las Vegas, NV 89032-2484
Phone 702-675-6314
Authorized official
Ericka L Severs
Ceo
7026756314
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