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Organization
BEHAVIORAL SERVICES OF SOUTHERN NEVADA LLC
Active
Organization
BEHAVIORAL SERVICES OF SOUTHERN NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER A LILES (OPERATING MANAGER)
(702) 327-0532
Entity
Organization
Contact information
Practice address
2799 E TROPICANA AVE STE G, LAS VEGAS, NV 89121-7305
(702) 327-0532
Mailing address
2799 E TROPICANA AVE STE G, LAS VEGAS, NV 89121-7305
(702) 327-0532
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
5510-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5510-V
—
NV
Enumeration date
01/22/2013
Last updated
01/22/2013
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