Individual
NATHANIEL COLLINS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1009 RUSTRIDGE AVE, NORTH LAS VEGAS, NV 89081-6658
(855) 239-3855
Mailing address
1917 FONTANA AVE, LAS VEGAS, NV 89106-3920
(702) 561-3431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV20131487332
NV
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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