Individual
CORINNE DEVA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 S DURANGO DR STE 425, LAS VEGAS, NV 89117-4455
(702) 972-6823
Mailing address
3130 S DURANGO DR STE 425, LAS VEGAS, NV 89117-4455
(702) 972-6823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/07/2018
Last updated
01/17/2019
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