Organization
FUNCTIONAL BEHAVIOR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TIMOTHY CHURCH BCBA, LBA (CEO)
(307) 575-2044
Entity
Organization
Contact information
Practice address
5248 PALM PINNACLE AVE, LAS VEGAS, NV 89139-5682
(307) 575-2044
Mailing address
5248 PALM PINNACLE AVE, LAS VEGAS, NV 89139-5682
(307) 575-2044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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