Individual
CIERA LYNN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7473 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-0265
(314) 503-1774
Mailing address
7473 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-0265
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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