MEDICARE: STELLAR BEHAVIORAL CONSULTING LTD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	106E00000X	Assistant Behavior Analyst
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1558864884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELLAR BEHAVIORAL CONSULTING LTD

Provider Business Mailing Address
First Line	:	3157 N RAINBOW BLVD STE K7-247
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4578
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3515 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1839
Country	:	US
Telephone Number	:	702-900-7698
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JOHN LEE
Credential	:
Telephone Number	:	702-900-7698

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	01/07/2026

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