Individual
INNOCENT AKHIDENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2270 LOSEE RD, NORTH LAS VEGAS, NV 89030-4109
(702) 399-1070
Mailing address
2270 LOSEE RD, NORTH LAS VEGAS, NV 89030-4109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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