Individual
TIERRA BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 S VALLEY VIEW BLVD, STE 6, LAS VEGAS, NV 89102-0116
(702) 922-7015
Mailing address
2801 S VALLEY VIEW BLVD, STE 6, LAS VEGAS, NV 89102-0116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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