Individual
MS. LARISSA MARIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2904 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-5015
(702) 994-9491
Mailing address
3516 CORONA DEL MAR DR, LAS VEGAS, NV 89108-4823
(702) 994-9491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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