MEDICARE: AMBITION TOWARD BETTERMENT, 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1861350845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBITION TOWARD BETTERMENT, LLC

Provider Business Mailing Address
First Line	:	9037 JUMPING JACKS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-6288
Country	:	US
Telephone Number	:	714-458-0096
Fax Number	:

Provider Business Practice Location Address
First Line	:	9037 JUMPING JACKS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-6288
Country	:	US
Telephone Number	:	714-458-0096
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT VARNADO
Credential	:
Telephone Number	:	714-458-0096

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/12/2026

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