Healthcare Provider Details

I. General information

NPI: 1477416535
Provider Name (Legal Business Name): ROBERT J MARSH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ROBBIE J MARSH PH.D., BCBA, LBA

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091 S CIMARRON RD STE A5
LAS VEGAS NV
89145-2445
US

IV. Provider business mailing address

1091 S CIMARRON RD STE A5
LAS VEGAS NV
89145-2445
US

V. Phone/Fax

Practice location:
  • Phone: 702-389-5465
  • Fax:
Mailing address:
  • Phone: 702-389-5465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA1095
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: