Individual
MISS TAYANI BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3465 W CRAIG RD, NORTH LAS VEGAS, NV 89032-5120
(888) 505-1637
Mailing address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 646-5437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
08/26/2019
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