Individual
LATASHA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1928 ROSE CORAL AVE, LAS VEGAS, NV 89106-1806
(702) 573-9265
Mailing address
1928 ROSE CORAL AVE, LAS VEGAS, NV 89106-1806
(702) 573-9265
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1402454597
NV
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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