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Organization subpart
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Provider details

NPI number
Authorized official
VIKKI N AUGUST (OWNER)
(725) 212-0517
Entity
Organization

Contact information

Practice address
3000 HIGH VIEW DR APT 611, HENDERSON, NV 89014-3796
(725) 212-0517
Mailing address
3000 HIGH VIEW DR APT 611, HENDERSON, NV 89014-3796
(725) 212-0517

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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