Provider Demographics
NPI:1376227470
Name:APPLIED BEHAVIOR ANALYSIS SERVICES LLC
Entity Type:Organization
Organization Name:APPLIED BEHAVIOR ANALYSIS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SINNOTT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:702-523-0598
Mailing Address - Street 1:2601 S PAVILION CENTER DR UNIT 2102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-1818
Mailing Address - Country:US
Mailing Address - Phone:702-523-5059
Mailing Address - Fax:
Practice Address - Street 1:2601 S PAVILION CENTER DR UNIT 2102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-1818
Practice Address - Country:US
Practice Address - Phone:702-523-5059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health