Individual
SHIRLEY MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 LAS VEGAS BLVD N, LAS VEGAS, NV 89115-1555
(702) 776-8397
Mailing address
PO BOX 753654, LAS VEGAS, NV 89136-3654
(702) 776-8397
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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