Individual
BEVERLY HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 W CHEYENNE AVE, #20, NORTH LAS VEGAS, NV 89030-7807
(702) 487-5665
Mailing address
720 W CHEYENNE AVE, #20, NORTH LAS VEGAS, NV 89030-7807
(702) 487-5665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4100250878
—
NV
Enumeration date
05/09/2013
Last updated
05/09/2013
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