Individual
MR. RYAN JUSTIN NEBRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCIOLOGY
Contact information
Practice address
1455 E TROPICANA AVE, SUITE 175B, LAS VEGAS, NV 89119-6507
(702) 893-2002
Mailing address
4080 WARLING ST, LAS VEGAS, NV 89122-4119
(702) 893-2002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464617191
—
NV
Enumeration date
01/26/2016
Last updated
01/26/2016
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