Individual
GINA HEATHMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 E RUSSELL RD # 212, LAS VEGAS, NV 89120-2201
(702) 712-3617
(702) 712-3617
Mailing address
3440 E RUSSELL RD, LAS VEGAS, NV 89120-2201
(702) 214-4212
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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