Individual
RENISE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4285 N RANCHO DR STE 130, LAS VEGAS, NV 89130-3455
(702) 385-5678
Mailing address
5008 TROPICAL GLEN CT, LAS VEGAS, NV 89130-7228
(323) 841-6822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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