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NPI Code Detail

MEDICARE: MAHOGANY 7 THERAPY CENTER, LLC

MEDICARE: MAHOGANY 7 THERAPY CENTER, 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 : 1306791850
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAHOGANY 7 THERAPY CENTER, LLC
Provider Business Mailing Address
First Line : 3751 S NELLIS BLVD SPC 363
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3134
Country : US
Telephone Number : 510-447-3535
Fax Number : 510-447-3535
Provider Business Practice Location Address
First Line : 3751 S NELLIS BLVD SPC 363
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3134
Country : US
Telephone Number : 510-447-3535
Fax Number : 510-447-3535
Authorized Official
Title or Position : OWNER
Name : CHINA MAXWELL
Credential : BCABA,LABA
Telephone Number : 510-447-3535
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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