Individual
AMANDA RAVENSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 S VALLEY VIEW BLVD, LAS VEGAS, NV 89102-1854
Mailing address
3033 ENGLISH PALMER RD, NORTH LAS VEGAS, NV 89086-1673
(203) 524-6465
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
SP-3322
NV
Other
Enumeration date
08/27/2018
Last updated
07/16/2024
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