Provider Demographics
NPI:1053660209
Name:ACHIEVABLE BEHAVIOR STRATEGIES
Entity Type:Organization
Organization Name:ACHIEVABLE BEHAVIOR STRATEGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KYRIANNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LBA, LMHC, BCBA
Authorized Official - Phone:702-250-4891
Mailing Address - Street 1:9167 W FLAMINGO RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6472
Mailing Address - Country:US
Mailing Address - Phone:702-565-1894
Mailing Address - Fax:702-565-0056
Practice Address - Street 1:9167 W FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147
Practice Address - Country:US
Practice Address - Phone:702-565-1894
Practice Address - Fax:702-565-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-04
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1-02-0938103K00000X
HIMHC 279251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty