R.e.s.t.o.r.e. Behavioral Health Rehabilitative Treatment Services,llc

NPI #1386923506 in North Las Vegas, Nevada

Provider Information

NPI Number: 1386923506
Entity Type: Organization
Organization Name: R.e.s.t.o.r.e. Behavioral Health Rehabilitative Treatment Services,llc
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 4, 2011
Last Updated: Jul 14, 2014

Practice Location

Address: 3925 NORTH MARTIN LUTHER KING BLVD.
Address 2: SUITE 215
City: North Las Vegas
State: Nevada
ZIP Code: 89032-7676
Phone: (404) 449-3463

Authorized Official

Name: MS. RITA MICHELLE BLANKENSHIP, MS, CADC-I
Title: EXECUTIVE DIRECTOR/CEO
Phone: (404) 449-3463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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