Individual
SANTOSHA MICHELLE REVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5316 SUMMER TROUT ST, NORTH LAS VEGAS, NV 89031-6616
(702) 591-3029
(702) 649-2643
Mailing address
5316 SUMMER TROUT ST, NORTH LAS VEGAS, NV 89031-6616
(702) 591-3029
(702) 649-2643
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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