Individual
LADEAN JUNIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 REVERE ST, NORTH LAS VEGAS, NV 89030-4011
(702) 400-6064
Mailing address
2212 REVERE ST, NORTH LAS VEGAS, NV 89030-4011
(702) 400-6064
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400867729
NEVADA STATE LICENSE
NV
Enumeration date
09/27/2018
Last updated
07/06/2021
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