Individual
HEIDI LYNN DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 W ANN RD STE 120, NORTH LAS VEGAS, NV 89031-4407
(702) 248-8866
(702) 323-6613
Mailing address
2740 S JONES BLVD, LAS VEGAS, NV 89146-5398
(702) 248-8866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-83430
NV
Other
Enumeration date
10/01/2018
Last updated
06/24/2019
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