Organization
ROAD RUNNER ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEEN REGINE SIPP BCBA, LBA (OWNER)
(702) 970-9471
Entity
Organization
Contact information
Practice address
8550 W CHARLESTON BLVD, STE 102-159, LAS VEGAS, NV 89117
(702) 970-9471
Mailing address
8550 W CHARLESTON BLVD, STE 102-159, LAS VEGAS, NV 89117
(702) 970-9471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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