Individual
CHIVON FORRESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9029 S PECOS RD STE 2700, HENDERSON, NV 89074-7198
(702) 680-1526
Mailing address
10000 S MARYLAND PKWY APT 2019, LAS VEGAS, NV 89183-6389
(201) 686-1148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35654
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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