Individual
PORSHA WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3670 N RANCHO DR, SUITE # 108, LAS VEGAS, NV 89130-3174
(702) 432-6463
Mailing address
3670 N RANCHO DR, SUITE # 108, LAS VEGAS, NV 89130-3174
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1402420203
NV
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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