Individual
DANIELLE LEE WAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 754-0807
Mailing address
303 TIN ST, HENDERSON, NV 89015-7342
(702) 902-6141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2101563383
NV
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
04/18/2022
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