Individual
SHYNDONA LYNETTE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W SAHARA AVE STE 800, LAS VEGAS, NV 89102-4397
(702) 604-2448
(725) 605-5874
Mailing address
2300 W SAHARA AVE STE 800, LAS VEGAS, NV 89102-4397
(702) 604-2448
(725) 605-5874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251E00000X
Home Health Agency
Primary
10472-PCS-0
NV
3747A0650X
Attendant Care Provider
CNA023075
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15272562
—
NV
Enumeration date
01/18/2018
Last updated
09/27/2024
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