Provider Demographics
NPI:1902198435
Name:ACCELERATED BEHAVIOR MANAGEMENT GROUP
Entity Type:Organization
Organization Name:ACCELERATED BEHAVIOR MANAGEMENT GROUP
Other - Org Name:ACCELERATED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVOUGHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-752-8276
Mailing Address - Street 1:3958 BLUSHING HEARTS RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-3500
Mailing Address - Country:US
Mailing Address - Phone:702-752-8276
Mailing Address - Fax:
Practice Address - Street 1:3958 BLUSHING HEARTS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-3500
Practice Address - Country:US
Practice Address - Phone:702-752-8276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health