Individual
IMANI DELILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2501 N GREEN VALLEY PKWY, BLDG. D, STE 116-118, HENDERSON, NV 89014-0273
(702) 605-2766
(702) 938-9056
Mailing address
2501 N GREEN VALLEY PKWY, BLDG. D, STE 116-118, HENDERSON, NV 89014-0273
(702) 605-2766
(702) 938-9056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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