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Individual

SHANNE MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6897 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1640
(888) 505-1637
Mailing address
7033 FLOWERING WILLOW ST, LAS VEGAS, NV 89148-3813

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/23/2016
Last updated
07/23/2016
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