Individual
MS. TYSHIMA T BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5490 FLOATING FLOWER AVE, LAS VEGAS, NV 89139-0135
(702) 601-6746
Mailing address
5490 FLOATING FLOWER AVE, LAS VEGAS, NV 89139-0135
(702) 601-6746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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