Individual
CHRISTOPHER HANNIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 E TROPICANA AVE STE 375, LAS VEGAS, NV 89119-6520
(702) 909-8900
Mailing address
1515 E TROPICANA AVE STE 375, LAS VEGAS, NV 89119-6520
(702) 909-8900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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