Individual
DIANDRE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 W CHEYENNE AVE STE 100-130, NORTH LAS VEGAS, NV 89032-8212
(702) 331-1917
(702) 331-5219
Mailing address
3550 W CHEYENNE AVE STE 100-130, NORTH LAS VEGAS, NV 89032-8212
(702) 331-1917
(702) 331-5219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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