Diversified Community Services Cdc
NPI #1295011906 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1295011906
- Entity Type
- Organization
- Organization Name
- Diversified Community Services Cdc
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Oct 26, 2011
- Last Updated
- Apr 24, 2017
Practice Location
- Address
- 2820 E LAKE MEAD BLVD
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89030-6514
- Phone
- (702) 749-8500
Authorized Official
- Name
- MS. SHANNON ASHFORD
- Title
- OFFICE ADDIMINSTRATOR
- Phone
- (702) 749-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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