Provider Demographics
NPI:1760903587
Name:SAGE COLLECTIVE LEARNING CONSULTANTS
Entity Type:Organization
Organization Name:SAGE COLLECTIVE LEARNING CONSULTANTS
Other - Org Name:THE LEARNING CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A C
Authorized Official - Last Name:BONOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-657-8309
Mailing Address - Street 1:2435 PYRAMID WAY STE B
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1865
Mailing Address - Country:US
Mailing Address - Phone:775-657-8309
Mailing Address - Fax:
Practice Address - Street 1:2435 PYRAMID WAY STE B
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-1865
Practice Address - Country:US
Practice Address - Phone:775-657-8309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-01
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0100103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty