Individual
SHARIAH OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6105 SAPPHIRE GOLD ST, NORTH LAS VEGAS, NV 89031-6868
(702) 281-3098
Mailing address
6105 SAPPHIRE GOLD ST, NORTH LAS VEGAS, NV 89031-6868
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PROVIDER 14
—
NV
Enumeration date
10/31/2016
Last updated
10/31/2016
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