Individual
AUTUMN NICOLE THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7390 W SAHARA AVE STE 260, LAS VEGAS, NV 89117-2765
(702) 900-4320
Mailing address
7390 W SAHARA AVE STE 260, LAS VEGAS, NV 89117-2765
(702) 900-4320
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-262688
NV
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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