Individual
PRESTON LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2881 N RANCHO DR, LAS VEGAS, NV 89130-3318
(702) 561-9859
Mailing address
PO BOX 270886, LAS VEGAS, NV 89127-4886
(702) 561-9859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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