Individual
JUSTICE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 W CHEYENNE AVE STE 60, NORTH LAS VEGAS, NV 89030-7850
(702) 633-7923
Mailing address
5732 SALT ROCK ST, NORTH LAS VEGAS, NV 89031-1326
(702) 884-6266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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