Organization
UNBOUND ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAJON KENTRELL TIMMONS SR. (DIRECTOR)
(916) 504-7199
Entity
Organization
Contact information
Practice address
4008 JUANITA MAY AVE,, NORTH LAS VEGAS, NV 89032-8949
(916) 504-7199
Mailing address
304 S JONES BLVD # 1371, LAS VEGAS, NV 89107-2623
(916) 504-7199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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