Healthcare Provider Details

I. General information

NPI: 1538832233
Provider Name (Legal Business Name): LIMITLESS BEHAVIORAL HEALTH & ABA ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 07/28/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N GREEN VALLEY PKWY STE 9B
HENDERSON NV
89074-5991
US

IV. Provider business mailing address

1701 N GREEN VALLEY PKWY STE 9B
HENDERSON NV
89074-5991
US

V. Phone/Fax

Practice location:
  • Phone: 725-444-3803
  • Fax:
Mailing address:
  • Phone: 725-444-3803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMES ROUSE
Title or Position: OWNER
Credential:
Phone: 725-444-3803