Organization
OPPORTUNITY VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LIAKOS (EXECUTIVE ASSISTANT)
(702) 839-4784
Entity
Organization
Contact information
Practice address
6050 S BUFFALO DR, LAS VEGAS, NV 89113-2154
(702) 880-4083
Mailing address
6050 S BUFFALO DR, LAS VEGAS, NV 89113-2154
(702) 880-4083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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