Organization
DISCOVERY ABA NV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ELIAS (MANAGING DIRECTOR)
(718) 736-5689
Entity
Organization
Contact information
Practice address
8126 CRUSHED VELVET PL, LAS VEGAS, NV 89166-3794
(718) 736-5689
Mailing address
8126 CRUSHED VELVET PL, LAS VEGAS, NV 89166-3794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
NV
Enumeration date
03/24/2022
Last updated
03/24/2022
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