Individual
LAUREL AMANDA HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149-0260
(702) 396-0101
Mailing address
72 BASQUE COAST ST, LAS VEGAS, NV 89138-4669
(702) 290-9994
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-7552-192003
NV
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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