Individual
AMY BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
731 MALL RING CIR, SUITE 215, HENDERSON, NV 89014-6683
(702) 547-6971
Mailing address
3368 TREVET ST UNIT 101, LAS VEGAS, NV 89129-8043
(702) 767-3416
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-16-
RBT LICENSE NUMBER
—
Enumeration date
10/31/2016
Last updated
10/31/2016
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