Individual
LUCY MKRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 S RILEY ST APT 204, LAS VEGAS, NV 89148-1343
(818) 746-6609
Mailing address
6350 S RILEY ST APT 204, LAS VEGAS, NV 89148-1343
(818) 746-6609
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
204909
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JQC94223523D
—
CA
Enumeration date
05/06/2022
Last updated
05/06/2022
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