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General NPI Number Information
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NPI Number | 1871383620
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Entity Type | Organization
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Legal Business Name | GLO THERAPY ABA, LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 8791 ALTA DR STE 1061
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City | LAS VEGAS
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State | NV
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Zip | 89145-8570
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Country | US
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Telephone | 725-377-4796
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Fax |
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Provider Business Mailing Address
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Address Line | 8791 ALTA DR STE 1061
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City | LAS VEGAS
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State | NV
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Zip | 89145-8570
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Country | US
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Telephone | 725-377-4796
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Fax |
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Authorized Official
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Title or Position | OWNER, CHIEF CLINICAL OFFICER
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Name | GLORIA RIVAS
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Credential | BCBA, LBA
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Telephone | 725-377-4796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant 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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 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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