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Organization
BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Active
Organization
BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Active
Parent organization
BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Other names
UNLV Ackerman Center for Autism and Neurodeveloment Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Authorized official
TRACEY GREEN M.D. (VICE DEAN OF CLINICAL AFFAIRS)
(702) 998-9505
Entity
Organization
Contact information
Practice address
630 S. RANCHO, STE. A, LAS VEGAS, NV 89106
(702) 998-9505
Mailing address
630 S. RANCHO, STE. A, LAS VEGAS, NV 89106
(702) 998-9505
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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