Individual
CHYNA L HANDY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 S RANCHO DR STE D, LAS VEGAS, NV 89106-4849
(661) 759-7158
Mailing address
3957 DANNY MELAMED AVE UNIT 101, LAS VEGAS, NV 89110-7001
(661) 759-7158
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
NV
Other
Enumeration date
12/07/2021
Last updated
10/17/2024
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