Provider Demographics
NPI:1083476766
Name:PRESS PLAY ABA LLC
Entity Type:Organization
Organization Name:PRESS PLAY ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:KIMBERLY
Authorized Official - Last Name:PRESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:702-271-3839
Mailing Address - Street 1:5510 S FORT APACHE RD
Mailing Address - Street 2:413
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-7700
Mailing Address - Country:US
Mailing Address - Phone:702-721-9492
Mailing Address - Fax:
Practice Address - Street 1:5510 S FORT APACHE RD # 413
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7700
Practice Address - Country:US
Practice Address - Phone:702-721-9492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty