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General NPI Number Information
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NPI Number | 1588453955
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Entity Type | Organization
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Legal Business Name | AMERICAN BEHAVIORAL SOLUTIONS NEVADA LLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 5258 S EASTERN AVE STE 151-306
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City | LAS VEGAS
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State | NV
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Zip | 89119-2326
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Country | US
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Telephone | 800-594-4445
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Fax | 480-685-9879
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Provider Business Mailing Address
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Address Line | 2045 S VINEYARD STE 223
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City | MESA
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State | AZ
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Zip | 85210-6826
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Country | US
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Telephone | 800-594-4445
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Fax | 480-685-9879
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Authorized Official
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Title or Position | OWNER
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Name | JORGE DE CARDENAS
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Credential |
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Telephone | 602-615-0753
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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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