Organization
SUPA
Active
Other names
Saving Under Priviledge Adolescents
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON CARTER (SECRETARY)
(702) 208-8472
Entity
Organization
Contact information
Practice address
700 PYRAMID DR, LAS VEGAS, NV 89107-2168
(702) 208-8472
Mailing address
700 PYRAMID DR, LAS VEGAS, NV 89107-2168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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