Innovation Behavioral Health Solutions LLC

NPI #1366075574 in Las Vegas, Nevada

Provider Information

NPI Number: 1366075574
Entity Type: Organization
Organization Name: Innovation Behavioral Health Solutions LLC
Primary Specialty: Behavior Technician
Enumeration Date: Feb 16, 2020
Last Updated: Feb 16, 2020

Practice Location

Address: 6655 W SAHARA AVE STE A208
City: Las Vegas
State: Nevada
ZIP Code: 89146-2812
Phone: (702) 900-2784

Authorized Official

Name: DR. SANDRA GRAY
Title: PSYCHOLOGIST
Phone: (702) 900-2784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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