Individual
NICOLE SHAMMONE LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 SIMMONS ST, LAS VEGAS, NV 89106-1569
(702) 901-5200
Mailing address
1950 SIMMONS ST, LAS VEGAS, NV 89106-1569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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