Individual
ANTHONY NATHAN NIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1101 W MOANA LN STE 2, RENO, NV 89509-4734
(775) 337-2394
Mailing address
1556 WYOMING CT, RENO, NV 89503-2256
(916) 749-2036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-5546-65828
NV
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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