Individual
EMILY GOOD WEASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 S RAINBOW BLVD, 2144, LAS VEGAS, NV 89118-0624
(505) 235-8693
Mailing address
5250 S RAINBOW BLVD, 2144, LAS VEGAS, NV 89118-0624
(505) 235-8693
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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