MEDICARE: CENTERS FOR ADVANCED BEHAVIORS AND LEARNING

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

General Provider Information

NPI Number	:	1437859584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERS FOR ADVANCED BEHAVIORS AND LEARNING

Provider Business Mailing Address
First Line	:	4112 HELENS POUROFF AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-4460
Country	:	US
Telephone Number	:	702-610-4961
Fax Number	:

Provider Business Practice Location Address
First Line	:	4112 HELENS POUROFF AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-4460
Country	:	US
Telephone Number	:	702-610-4961
Fax Number	:

Authorized Official
Title or Position	:	CEO AND PRESIDENT
Name	:	DR. RORY BROWN SIPP
Credential	:	LBA, BCBA AND EDD
Telephone Number	:	702-610-4961

Provider Enumeration Date	:	03/07/2023
Last Update Date	:	03/07/2023

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Directions to “CENTERS FOR ADVANCED BEHAVIORS AND LEARNING ” Practice Location

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