Individual
SIRIVIREEO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 PINTO LN, LAS VEGAS, NV 89106-4019
(702) 868-2901
Mailing address
4348 SANTA CLARITA AVE, LAS VEGAS, NV 89115-6002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV20121758406
NV
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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