Healthcare Provider Details

I. General information

NPI: 1205625530
Provider Name (Legal Business Name): GIGGLE & GROW ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

8239 CROWN PEAK AVE
LAS VEGAS NV
89117-9145
US

IV. Provider business mailing address

8239 CROWN PEAK AVE
LAS VEGAS NV
89117-9145
US

V. Phone/Fax

Practice location:
  • Phone: 702-569-7077
  • Fax:
Mailing address:
  • Phone: 702-569-7077
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: FERESHTEH VAHABI
Title or Position: FOUNDER/OWNER
Credential: MED, BCBA
Phone: 702-569-7077