MEDICARE: HELPING HANDS AUTISM BEHAVIORAL CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	103G00000X	Clinical Neuropsychologist
4	103T00000X	Psychologist
5	103TC0700X	Clinical Psychologist
6	251S00000X	Community/Behavioral Health Agency
7	106E00000X	Assistant Behavior Analyst
8	106H00000X	Marriage & Family Therapist
9	106S00000X	Behavior Technician
10	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1619411030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS AUTISM BEHAVIORAL CENTER

Provider Business Mailing Address
First Line	:	7623 JASMINE FALLS DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89179-2032
Country	:	US
Telephone Number	:	510-820-0812
Fax Number	:

Provider Business Practice Location Address
First Line	:	7623 JASMINE FALLS DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89179-2032
Country	:	US
Telephone Number	:	510-820-0812
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/FOUNDER
Name	:	EMMER MIGNONETTE RELIFORD
Credential	:
Telephone Number	:	510-820-0812

Provider Enumeration Date	:	12/05/2016
Last Update Date	:	12/05/2016

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