MEDICARE: RESET BEHAVIOR LLC

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	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1841800554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESET BEHAVIOR LLC

Provider Business Mailing Address
First Line	:	6471 AMERICAN EAGLE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-3252
Country	:	US
Telephone Number	:	702-339-5565
Fax Number	:

Provider Business Practice Location Address
First Line	:	6471 AMERICAN EAGLE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-3252
Country	:	US
Telephone Number	:	702-339-5565
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MELISSA BROOKE KENYON
Credential	:
Telephone Number	:	702-339-5565

Provider Enumeration Date	:	08/06/2020
Last Update Date	:	08/06/2020

Similar Medicare Providers

1851806772 — KRISTAIN THOMPSON
Practice Location Address:

6471 AMERICAN EAGLE AVE
LAS VEGAS, NV
89131-3252

Practice Phone: 800-892-0640
Practice Fax:

1356917918 — MRS. MELISSA KENYON BCBA, LBA
Practice Location Address:

6471 AMERICAN EAGLE AVE
LAS VEGAS, NV
89131-3252

Practice Phone: 702-339-5565
Practice Fax:

1841952611 — BROOKLYN PERSLEY RBT
Practice Location Address:

6471 AMERICAN EAGLE AVE
LAS VEGAS, NV
89131-3252

Practice Phone: 702-389-5465
Practice Fax:

1235891755 — KRYSTIN GRAY
Practice Location Address:

6471 AMERICAN EAGLE AVE
LAS VEGAS, NV
89131-3252

Practice Phone: 702-389-5467
Practice Fax: 702-389-2520

1134127566 — DR. THOMAS J PUHEK DDS
Practice Location Address:

3431 E SUNSET RD , SUITE #301
LAS VEGAS, NV
89120-3252

Practice Phone: 702-435-3901
Practice Fax: 702-435-1378

1710261292 — AVERY PAPESH
Practice Location Address:

3431 E SUNSET RD BLDG C , STE 303-23
LAS VEGAS, NV
89120-3252

Practice Phone: 702-686-8807
Practice Fax: 702-413-6364

Directions to “RESET BEHAVIOR LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.