Organization
SHINING STAR COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA WADE (CEO)
(702) 882-7827
Entity
Organization
Contact information
Practice address
5420 W SAHARA AVE, #101, LAS VEGAS, NV 89146-0394
(702) 882-7827
(702) 522-9336
Mailing address
4580 S EASTERN AVE STE 33, LAS VEGAS, NV 89119-6100
(702) 882-7827
(702) 522-9336
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
09/21/2019
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