MEDICARE: BEHAVIORAL RESOLUTIONS LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	606719	NV

General Provider Information

NPI Number	:	1063708782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL RESOLUTIONS LTD.

Provider Business Mailing Address
First Line	:	P.O. BOX 752011
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7955 CAPE BRETT ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-4602
Country	:	US
Telephone Number	:	702-883-1905
Fax Number	:	702-982-2883

Authorized Official
Title or Position	:	OWNER
Name	:	MARIJA SAVITT
Credential	:	MBR
Telephone Number	:	702-883-1905

Provider Enumeration Date	:	06/21/2011
Last Update Date	:	06/21/2011

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