K.G. Behavioral Support Services

LBN: K.G. Behavioral Support Services
K.G. Behavioral Support Services is an health care organization with primary practice located at 8871 W Flamingo Rd Suite 202, Las Vegas NV 89147-8757. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as the primary health care specialty. K.G. Behavioral Support Services can be contacted via phone (702) 592-8712, or through Griffin, Krystal T. via phone (702) 592-8712.

Contact Information

Primary practice address
8871 W Flamingo Rd Suite 202 Las Vegas NV 89147-8757
Phone: (702) 592-8712
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Griffin, Krystal T. QMHA
Phone: (702) 592-8712

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1346512159
LBN Legal business name K.G. Behavioral Support Services
DBA Doing business as
Authorized official Griffin, Krystal T. QMHA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2012
Last updated Mar 5th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346512159 NPPES
Nevada MEDICAID 1669778163

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