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Individual

MAYA L EZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1024 W OWENS AVE STE B, LAS VEGAS, NV 89106-2520
(702) 636-8729
(702) 441-1808
Mailing address
615 JEFFERSON AVE, LAS VEGAS, NV 89106-3342
(702) 461-0620

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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