Individual
REAVOUS J THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S MARTIN LUTHER KING BLVD, 2133, LAS VEGAS, NV 89106-4314
(702) 601-8791
Mailing address
100 S MARTIN LUTHER KING BLVD, 2133, LAS VEGAS, NV 89106-4314
(702) 601-8791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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