Individual
MR. JAMES TIMOTHY CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
7391 W CHARLESTON BLVD # 150, LAS VEGAS, NV 89117-1577
(702) 396-0101
(702) 222-0212
Mailing address
5248 PALM PINNACLE AVE, LAS VEGAS, NV 89139-5682
(307) 575-2044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0080
NV
103K00000X
Behavior Analyst
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—
Other
Enumeration date
01/24/2013
Last updated
05/31/2017
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