Individual
NIANI JEWEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6521 ANGEL MOUNTAIN AVE, LAS VEGAS, NV 89130-1844
(702) 882-9552
Mailing address
6521 ANGEL MOUNTAIN AVE, LAS VEGAS, NV 89130-1844
(702) 882-9552
(702) 455-7180
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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