Individual
ASHLEY BLACKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 N MARTIN L KING BLVD, SUITE 202, N LAS VEGAS, NV 89032-7673
(702) 749-6332
Mailing address
3925 N MARTIN L KING BLVD, SUITE 202, N LAS VEGAS, NV 89032-7673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV20101087770
NV
Other
Enumeration date
06/30/2011
Last updated
04/26/2012
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