Organization
NEVEDA BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIAL WEBB (OWNER)
(702) 326-7750
Entity
Organization
Contact information
Practice address
930 CANALE DRIVE, HENDERSON, NV 89011
(702) 326-7750
Mailing address
930 CANALE DRIVE, HENDERSON, NV 89011
(702) 326-7750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701517598
—
NV
05
—
1701709061
—
NV
Enumeration date
10/21/2013
Last updated
10/21/2013
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