Individual
MELISSA NICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7730 W SAHARA AVE STE 115, LAS VEGAS, NV 89117-2753
(702) 660-2005
(702) 620-4808
Mailing address
7730 W SAHARA AVE STE 115, LAS VEGAS, NV 89117-2753
(702) 660-2005
(702) 620-4808
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1617
NV
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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