Individual
CELESTIAL LEE DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7390 W SAHARA AVE STE 260, LAS VEGAS, NV 89117-2765
(702) 900-4320
Mailing address
8350 W DESERT INN RD APT 2095, LAS VEGAS, NV 89117-9125
(435) 218-1926
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0655
NV
106S00000X
Behavior Technician
RBT-16-19565
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396085718
—
UT
Enumeration date
04/03/2017
Last updated
10/13/2022
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