Individual
MRS. BRANDY C MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 E PEBBLE RD, LAS VEGAS, NV 89123-2925
(702) 207-7134
(702) 263-6531
Mailing address
8174 LAS VEGAS BLVD S, 109, LAS VEGAS, NV 89123-1029
(818) 855-4429
(702) 263-6531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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