Organization
RADIANT AUTISM SERVICES, LLC
Active
Other names
Radiant Autism Services
Organization subpart
No
Provider details
NPI number
Authorized official
LENA SANKOVICH (MANAGING MEMBER/OWNER)
(702) 773-8602
Entity
Organization
Contact information
Practice address
3810 PACKARD ST, ANN ARBOR, MI 48108-2054
(702) 773-1581
Mailing address
829 MAYBOLE AVE, HENDERSON, NV 89012-5118
(702) 773-1581
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/04/2019
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