Individual
LASHAUNTA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 W OAKEY BLVD STE 100B, LAS VEGAS, NV 89102-1506
(725) 251-5700
Mailing address
6130 W FLAMINGO RD # 632, LAS VEGAS, NV 89103-2280
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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