Individual
MR. TIMOTHY DIZON BATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
1810 E SAHARA AVE STE 200, LAS VEGAS, NV 89104-3735
(702) 207-6782
Mailing address
1810 E SAHARA AVE STE 200, LAS VEGAS, NV 89104-3735
(702) 207-6782
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
04/01/2011
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