Individual
TRAVIS OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 DELUCCHI LN, STE #220, RENO, NV 89502-6578
(775) 825-7500
(775) 825-7550
Mailing address
1575 DELUCCHI LN, STE #220, RENO, NV 89502-6578
(775) 825-7500
(775) 825-7550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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