Individual
MRS. SUSANA ISABEL DESPAIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 S JONES BLVD STE 105, LAS VEGAS, NV 89146-5625
(702) 778-0830
Mailing address
1232 LUCKY GOLD CT, LAS VEGAS, NV 89108-1856
(786) 319-2876
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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