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NPI Code Detail

MEDICARE: ONE CHILD AT A TIME LLC

MEDICARE: ONE CHILD AT A TIME LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1023312998
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE CHILD AT A TIME LLC
Provider Business Mailing Address
First Line : 1810 E SAHARA AVE
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89104-3735
Country : US
Telephone Number : 702-530-9409
Fax Number :
Provider Business Practice Location Address
First Line : 1810 E SAHARA AVE
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89104-3735
Country : US
Telephone Number : 702-530-9409
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SABRINA DANEEN DEVILLE
Credential :
Telephone Number : 702-530-9409
Provider Enumeration Date : 01/06/2011
Last Update Date : 03/25/2011

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Directions to “ONE CHILD AT A TIME LLC ” Practice Location

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