Individual
DONAVAN ROUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7473 W LAKE MEAD BLVD, SUITE 205, LAS VEGAS, NV 89128-0265
(702) 562-1288
(702) 562-8162
Mailing address
7473 W LAKE MEAD BLVD, SUITE 205, LAS VEGAS, NV 89128-0265
(702) 562-1288
(702) 562-8162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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