Individual
ALYSSA HUSKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 W CRAIG RD STE 105, LAS VEGAS, NV 89130-2537
(702) 901-5200
(702) 901-5201
Mailing address
5803 W CRAIG RD STE 105, LAS VEGAS, NV 89130-2537
(702) 901-5200
(702) 901-5201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750754107
—
NV
Enumeration date
11/11/2016
Last updated
11/11/2016
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