Individual
DAHRIN FOOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9599 W CHARLESTON BLVD APT 1169, LAS VEGAS, NV 89117-6670
(702) 241-2967
Mailing address
9599 W CHARLESTON BLVD APT 1169, LAS VEGAS, NV 89117-6670
(702) 241-2967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005056211
—
NV
Enumeration date
10/04/2010
Last updated
10/04/2010
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