Individual
NIMA YAZDANPANAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4880 W UNIVERSITY AVE STE B5, LAS VEGAS, NV 89103-3830
(702) 826-2890
Mailing address
4070 SPARROW ROCK ST, LAS VEGAS, NV 89129-3286
(702) 592-2132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
NV
Enumeration date
12/18/2013
Last updated
12/18/2013
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