Organization
STONYBROOK FOUNDATION
Active
Other names
STONYBROOK AUTISM CENTER, STONYBROOK FOUNDATION
Organization subpart
No
Provider details
NPI number
Authorized official
WINNIE BRISSEETT (ADMINISTRATOR)
(202) 430-6559
Entity
Organization
Contact information
Practice address
2755 E DESERT INN RD STE 270, LAS VEGAS, NV 89121-3690
(725) 203-0536
Mailing address
2755 E DESERT INN RD STE 155, LAS VEGAS, NV 89121-3637
(725) 203-0536
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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