Individual
SHANYCE LAVONNE STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 SUNRISE AVE, SUITE 111, LAS VEGAS, NV 89101-4864
(702) 445-6594
Mailing address
675 E. AZURE AVE, UNIT 2035, NORTH LAS VEGAS, NV 89081
(702) 331-6178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
NV
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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