Individual
SHAQUALLA FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W BONAZA RD, LAS VEGAS, NV 89106
(702) 968-0231
Mailing address
2800 DESERT SONG DR, LAS VEGAS, NV 89106-1334
(702) 741-8066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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