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General NPI Number Information
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NPI Number | 1548511876
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Entity Type | Organization
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Legal Business Name | NEVADA'S CHILDREN & FAMILY DEVELOPMENT CENTER LLC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 1515 E TROPICANA AVE STE 375
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City | LAS VEGAS
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State | NV
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Zip | 89119-6520
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Country | US
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Telephone | 702-909-8900
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Fax | 702-909-8905
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Provider Business Mailing Address
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Address Line | 1515 E. TROPICANA AVE. STE 375
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City | LAS VEGAS
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State | NV
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Zip | 89119
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Country | US
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Telephone | 702-909-8900
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER/OWNER
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Name | JOSEPH WILEY
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Credential |
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Telephone | 702-909-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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