Individual
GARY GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 SAINT JUDES ST, BOULDER CITY, NV 89005-1614
(702) 294-7100
Mailing address
PO BOX 60100, BOULDER CITY, NV 89006-0100
(702) 294-7100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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