Individual
SHAKAUWRA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 S PECOS RD # 100-001, LAS VEGAS, NV 89121-6038
(702) 683-9050
Mailing address
3053 W CRAIG RD, E-288, NORTH LAS VEGAS, NV 89032
(702) 683-9050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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