Individual
ANTHONY BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7809 ASTRAL AVE, LAS VEGAS, NV 89149-6627
(702) 419-4478
Mailing address
7809 ASTRAL AVE, LAS VEGAS, NV 89149-6627
(702) 419-4478
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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