Individual
DESHAE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 815-1550
Mailing address
2214 HOLLOW OAK AVE, NORTH LAS VEGAS, NV 89031-0658
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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