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Individual

MR. WILLIAM HAROLD PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 869-4300
Mailing address
7713 BRILLIANT FOREST ST, LAS VEGAS, NV 89131-5010
(608) 393-0932

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P362-9288-0415-00
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932247442
NV
Enumeration date
04/11/2012
Last updated
04/11/2012
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