Individual
ISAIAH NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 E SAHARA AVE STE 201, LAS VEGAS, NV 89104-3232
(702) 274-5843
Mailing address
1040 E SAHARA AVE STE 201, LAS VEGAS, NV 89104-3232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
NV
Enumeration date
06/18/2018
Last updated
06/18/2018
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