Individual
MRS. V. MICHELLE SHADE-SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4924 CORSICA ISLAND ST, NORTH LAS VEGAS, NV 89031-0941
(702) 683-5091
Mailing address
4924 CORSICA ISLAND ST, NORTH LAS VEGAS, NV 89031-0941
(702) 683-5091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/24/2010
Last updated
10/24/2010
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