Individual
SAMANTHA REBECCA MARIE BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 DANCING HILLS AVE, HENDERSON, NV 89052-3026
(702) 445-9016
Mailing address
3181 DANCING HILLS AVE, HENDERSON, NV 89052-3026
(702) 445-9016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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