Organization
INNOVATION BEHAVIORAL HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA GRAY (PSYCHOLOGIST)
(702) 900-2784
Entity
Organization
Contact information
Practice address
6655 W SAHARA AVE STE A208, LAS VEGAS, NV 89146-2812
(702) 900-2784
Mailing address
1065 E FLAMINGO RD APT 718, LAS VEGAS, NV 89119-7453
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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