Individual
MISTY HOPE SHOFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 S JONES BLVD OFC 206-B, LAS VEGAS, NV 89146-3103
(702) 496-1367
(888) 688-9464
Mailing address
2350 S JONES BLVD OFC 206-B, LAS VEGAS, NV 89146-3103
(702) 496-1367
(888) 688-9464
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABAT052217
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366730434
—
NV
Enumeration date
08/29/2013
Last updated
07/21/2022
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