Provider Demographics
NPI:1043857873
Name:ON POINT BEHAVIOR LLC
Entity Type:Organization
Organization Name:ON POINT BEHAVIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:MELVIN-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:702-715-8472
Mailing Address - Street 1:4894 SPARKS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-8127
Mailing Address - Country:US
Mailing Address - Phone:702-715-8472
Mailing Address - Fax:
Practice Address - Street 1:4894 SPARKS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-8127
Practice Address - Country:US
Practice Address - Phone:702-715-8472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385H00000XRespite Care FacilityRespite CareGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty