Individual
KAPRINA DARVION TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6275 BOULDER HWY APT 2075, LAS VEGAS, NV 89122-7701
(702) 743-7899
Mailing address
6275 BOULDER HWY APT 2075, LAS VEGAS, NV 89122-7701
(702) 743-7899
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1703464327
NV
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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