Organization
THERAPY BEHAVIOR SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MANVELL OWNER, SLP (PRESIDENT, OWNER, SLP)
(714) 943-7146
Entity
Organization
Contact information
Practice address
8670 W CHEYENNE AVE STE 115, LAS VEGAS, NV 89129-7457
(725) 202-1497
(725) 202-1500
Mailing address
8670 W CHEYENNE AVE STE 115, LAS VEGAS, NV 89129-7457
(725) 202-1497
(725) 202-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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