Individual
LETA J SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10345 PROFESSIONAL CIR STE 125NA, RENO, NV 89521-5862
(310) 406-7365
Mailing address
1358 ALPINE TER # A, RENO, NV 89523-9267
(310) 406-7365
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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