Individual
MS. AMANDA SARAH GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7281 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1592
(702) 870-7050
Mailing address
5376 MODENA DR, LAS VEGAS, NV 89120-2020
(702) 517-1511
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2018
Last updated
05/05/2018
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