Individual
MS. SHANNON LATREASE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N. RAINBOW SUITE 148, HEARTS WITH HELPING HANDS, LAS VEGAS, NV 89107
(702) 778-8922
(702) 778-8789
Mailing address
402 FOREST ST, HENDERSON, HENDERSON, NV 89015-5774
(702) 809-7637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
27-1538272
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639470172
—
NV
Enumeration date
03/26/2012
Last updated
03/26/2012
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