Individual
DANELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2831 SAINT ROSE PKWY STE 237, HENDERSON, NV 89052-4840
(702) 589-4712
Mailing address
5325 E TROPICANA AVE APT 2078, LAS VEGAS, NV 89122-6758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
02/28/2022
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