Individual
LAUREN ROSE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 W CRAIG RD STE 105, LAS VEGAS, NV 89130-2537
(702) 901-5200
(702) 901-5201
Mailing address
11425 DRAPPO AVE, LAS VEGAS, NV 89138-6083
(702) 576-8586
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
02112512
NV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/14/2018
Last updated
08/26/2021
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