Individual
SHIVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(888) 531-8385
Mailing address
PO BOX 235, KINGS BEACH, CA 96143-0235
(530) 386-5074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58142
—
Other
Enumeration date
06/15/2018
Last updated
08/15/2022
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