Organization
NEURO THRIVE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN FAKHREDDINE (DIRECTOR)
(301) 385-1784
Entity
Organization
Contact information
Practice address
10472 WELLINGTON MANOR AVE, LAS VEGAS, NV 89129-4514
(301) 385-1784
Mailing address
10472 WELLINGTON MANOR AVE, LAS VEGAS, NV 89129-4514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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