Individual
ALYSSA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 W CHARLESTON BLVD STE 111, LAS VEGAS, NV 89146-1067
(702) 283-6215
(702) 979-1028
Mailing address
5575 SIMMONS ST STE 1-491, NORTH LAS VEGAS, NV 89031-9009
(702) 283-6215
(702) 979-1028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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