Organization
MOVING FORWARD BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LALEH BEIJAN BCBA (AUTHORIZED OFFICIAL)
(757) 672-4174
Entity
Organization
Contact information
Practice address
10585 MEDICINE BOW ST, LAS VEGAS, NV 89183-4906
(757) 672-4174
Mailing address
10585 MEDICINE BOW ST, LAS VEGAS, NV 89183-4906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-47773
BCBA
NV
Enumeration date
10/04/2022
Last updated
10/04/2022
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