Individual
PRESTON ROBINSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5258 S EASTERN AVE, #105, LAS VEGAS, NV 89119-2326
(702) 464-5080
Mailing address
5252 CROOKED VALLEY DR, LAS VEGAS, NV 89149-6429
(702) 862-0948
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1404670684
NV
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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