Individual
HANNAH WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3850 W ANN RD STE 120, NORTH LAS VEGAS, NV 89031-4407
(702) 323-6555
Mailing address
7212 REDHEAD DR, NORTH LAS VEGAS, NV 89084-2300
(854) 202-1105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1148
NV
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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