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Individual

MISS RASALIE AYODHA PERERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6655 W SAHARA AVE STE A110, LAS VEGAS, NV 89146-2805
(702) 365-0600
Mailing address
7532 MYSTIC VOYAGE ST, LAS VEGAS, NV 89139-5334
(702) 408-6453

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/09/2012
Last updated
04/11/2012
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