Individual
NISSA CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 W TWAIN AVE APT 236, LAS VEGAS, NV 89103-6320
(702) 884-6769
Mailing address
4155 W TWAIN AVE APT 236, LAS VEGAS, NV 89103-6320
(702) 884-6769
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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