Organization
SOAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMED EMAMZADEH (MANAGING MEMBER)
(702) 812-9312
Entity
Organization
Contact information
Practice address
6771 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89146-9016
(702) 812-9312
Mailing address
6771 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89146-9016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/07/2020
Last updated
02/13/2020
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