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NPI Code Detail

MEDICARE: THE APPLIED BEHAVIOR ANALYSIS INSTITUTE, INC.

MEDICARE: THE APPLIED BEHAVIOR ANALYSIS INSTITUTE, INC.
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
1252Y00000XEarly Intervention Provider AgencyLBAT032811NV

General Provider Information

NPI Number : 1366730434
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE APPLIED BEHAVIOR ANALYSIS INSTITUTE, INC.
Provider Business Mailing Address
First Line : 408 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2658
Country : US
Telephone Number : 702-496-1367
Fax Number : 888-688-9464
Provider Business Practice Location Address
First Line : 408 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2658
Country : US
Telephone Number : 702-496-1367
Fax Number : 888-688-9464
Authorized Official
Title or Position : MANAGER
Name : DR. MARC ALAN TEDOFF
Credential : PH.D., BCBA
Telephone Number : 702-496-1367
Provider Enumeration Date : 07/11/2011
Last Update Date : 10/05/2021

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Directions to “THE APPLIED BEHAVIOR ANALYSIS INSTITUTE, INC. ” Practice Location

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