Individual
MR. MYRON DANTE MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 848-1696
Mailing address
7674 SILENT FALLS ST, LAS VEGAS, NV 89123-4703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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