Individual
LILY MISSICK MISSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 E PRATER WAY STE 107, SPARKS, NV 89434-8963
(775) 825-4744
(775) 351-1644
Mailing address
1625 E PRATER WAY STE 107, SPARKS, NV 89434-8963
(775) 825-4744
(775) 351-1644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT5958
NV
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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