Individual
ELLANISHA LATASHA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3145 E FLAMINGO RD, APT 2008, LAS VEGAS, NV 89121-4352
(702) 782-4122
Mailing address
3145 E FLAMINGO RD, 2008, LAS VEGAS, NV 89121-4352
(702) 782-4122
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649576471
—
NV
Enumeration date
09/10/2012
Last updated
09/10/2012
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