Organization
AUTISM PRIDE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIE NOVELO TANDIONO-CELLONA MBA (CEO)
(702) 882-4975
Entity
Organization
Contact information
Practice address
5891 ROCKWAY GLEN AVE, LAS VEGAS, NV 89141-8854
(702) 882-4975
Mailing address
5891 ROCKWAY GLEN AVE, LAS VEGAS, NV 89141-8854
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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