Healthcare Provider Details

I. General information

NPI: 1659063253
Provider Name (Legal Business Name): BEHAVIORAL FLUENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 02/16/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 N STEPHANIE ST STE 1514
HENDERSON NV
89014-8902
US

IV. Provider business mailing address

9288 VALLEY RANCH AVE
LAS VEGAS NV
89178-5526
US

V. Phone/Fax

Practice location:
  • Phone: 702-550-2791
  • Fax: 702-745-0488
Mailing address:
  • Phone: 716-870-5917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE KAMINSKA
Title or Position: BCBA, EXECUTIVE DIRECTOR
Credential: BCBA
Phone: 702-550-2791