Individual
AMANDA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 LUNA ALEGRE ST, LAS VEGAS, NV 89115-7368
(702) 578-5720
Mailing address
1833 LUNA ALEGRE ST, LAS VEGAS, NV 89115-7368
(702) 578-5720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/15/2016
Last updated
10/15/2016
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