Organization
BATTLE BORN BEHAVIOR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WILLIAN BOWEN (OWNER/CEO)
(702) 241-5568
Entity
Organization
Contact information
Practice address
9260 W SUNSET RD STE 204, LAS VEGAS, NV 89148-4903
(702) 241-5568
Mailing address
9898 SCOTTISH GLEN CT, LAS VEGAS, NV 89178-3854
(702) 241-5568
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134505191
—
NV
Enumeration date
08/30/2022
Last updated
08/30/2022
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