Organization
KEYSTONE DEVELOPMENT CENTER
Active
Organization
KEYSTONE DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GABRIYELLE GAINES M.ED., M.A.T. (PRESIDENT/DIRECTOR)
(702) 815-9046
Entity
Organization
Contact information
Practice address
7495 W AZURE DR STE 203, LAS VEGAS, NV 89130-4416
(702) 815-9046
(702) 815-0745
Mailing address
7495 W AZURE DR STE 203, LAS VEGAS, NV 89130-4416
(702) 815-9046
(702) 815-0745
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
06/01/2021
Last updated
06/06/2021
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