Organization
RENEW U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T WILSON (INVESTOR)
(702) 624-0071
Entity
Organization
Contact information
Practice address
8740 HONEY VINE AVE, LAS VEGAS, NV 89143-5133
(702) 624-0071
Mailing address
8740 HONEY VINE AVE, LAS VEGAS, NV 89143-5133
(702) 624-0071
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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