Individual
ANGELIA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5258 S EASTERN AVE, 105, LAS VEGAS, NV 89119-2326
(702) 464-5080
Mailing address
3157 N RAINBOW BLVD, 427, LAS VEGAS, NV 89108-4578
(702) 888-5147
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
101YA04001
NV
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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