Individual
JUSTINE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3560 W CHEYENNE AVE STE 120, NORTH LAS VEGAS, NV 89032-8261
(702) 331-1917
(702) 331-5219
Mailing address
3560 W CHEYENNE AVE STE 120, NORTH LAS VEGAS, NV 89032-8261
(702) 331-1917
(702) 331-5219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/28/2018
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