Organization
LIFE GATEWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY THORNTON (DIRECTOR)
(702) 823-2313
Entity
Organization
Contact information
Practice address
7548 W SAHARA AVE, SUITE 101, LAS VEGAS, NV 89117-2778
(702) 823-2313
Mailing address
7548 W SAHARA AVE, SUITE 101, LAS VEGAS, NV 89117-2778
(702) 823-2313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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