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Organization
SILVER STATE ABA LLC
Active
Organization
SILVER STATE ABA LLC
Active
Other names
Gingerly Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BROOK MADDEN BCBA, LBA (PRESIDENT)
(702) 350-1875
Entity
Organization
Contact information
Practice address
8270 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1219
(702) 350-1875
(833) 901-4030
Mailing address
8270 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1219
(702) 350-1875
(833) 901-4030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/21/2022
Last updated
05/17/2023
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