MEDICARE: THE MOMENTUM HUB, 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	:	1902757412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MOMENTUM HUB, LLC

Provider Business Mailing Address
First Line	:	8121 VILLA FINESTRA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-6944
Country	:	US
Telephone Number	:	702-768-3827
Fax Number	:

Provider Business Practice Location Address
First Line	:	8121 VILLA FINESTRA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-6944
Country	:	US
Telephone Number	:	702-768-3827
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JELLY MCCAULEY
Credential	:	BCBA,LBA,IBA
Telephone Number	:	702-768-3827

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “THE MOMENTUM HUB, LLC ” Practice Location

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