Individual
YI TING WANG TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89146-1067
(702) 437-4673
Mailing address
4825 SHEA STADIUM AVE, LAS VEGAS, NV 89139-7124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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