One Hundred Percent Well LLC

NPI #1275824195 in Las Vegas, Nevada

Provider Information

NPI Number: 1275824195
Entity Type: Organization
Organization Name: One Hundred Percent Well LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 26, 2011
Last Updated: Apr 26, 2011

Practice Location

Address: 2881 S VALLEY VIEW BLVD
Address 2: SUITE #25
City: Las Vegas
State: Nevada
ZIP Code: 89102-0100
Phone: (702) 275-5190

Authorized Official

Name: MR. REESE LAMOUNTE THOMAS-MCDADE I, BSW
Title: CHIEF EXECUTIVE OFFICER
Phone: (702) 275-5190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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