Individual
MR. DOMINIC MICHAEL MASSIMO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3785 E SUNSET RD, LAS VEGAS, NV 89120-6259
(725) 203-3073
Mailing address
3785 E SUNSET RD, LAS VEGAS, NV 89120-6259
(725) 203-3073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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