Individual
ALLYSAN NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 KIETZKE LN STE O260, RENO, NV 89502-5046
(702) 972-6823
Mailing address
PO BOX 82045, LAS VEGAS, NV 89180-2045
(702) 972-6823
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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