Healthcare Provider Details

I. General information

NPI: 1871419408
Provider Name (Legal Business Name): ROMAN EMPIRE ABA SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6873 W CHARLESTON BLVD
LAS VEGAS NV
89117-1600
US

IV. Provider business mailing address

127 N ELLEN DR
WEST COVINA CA
91790-2210
US

V. Phone/Fax

Practice location:
  • Phone: 702-978-8648
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA MONIQUE HOLGUIN
Title or Position: CASE SUPERVISOR
Credential:
Phone: 626-714-9426