Individual
HAILEY RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 CHANDLER AVE STE 4, LAS VEGAS, NV 89120-4059
(725) 710-4529
Mailing address
2450 CHANDLER AVE STE 4, LAS VEGAS, NV 89120-4059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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