Organization
SILVER STATE ABA LLC
Active
Other names
Gingerly Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BROOK MADDEN BCBA, LBA (PRESIDENT)
(702) 350-1875
Entity
Organization
Contact information
Practice address
8270 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1219
(702) 350-1875
(833) 901-4030
Mailing address
8270 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1219
(702) 350-1875
(833) 901-4030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/21/2022
Last updated
05/17/2023
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