Individual
DIVINA RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 MAGENTA HILLS DR, NORTH LAS VEGAS, NV 89031-2088
(562) 450-8141
Mailing address
3905 MAGENTA HILLS DR, NORTH LAS VEGAS, NV 89031-2088
(562) 450-8141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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