Individual
JUSTIN MATHEW DAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6897 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1640
(888) 505-1637
Mailing address
6897 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1640
(888) 505-1637
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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