Individual
PATRICK ROBERT BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
4055 SPENCER ST STE 118, LAS VEGAS, NV 89119-5250
(702) 799-9710
Mailing address
7261 W CHARLESTON BLVD, SUITE 101, LAS VEGAS, NV 89117-1636
(702) 396-0101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-19-35356
NV
106S00000X
Behavior Technician
RBT-16-16491
NV
225400000X
Rehabilitation Practitioner
—
NV
Other
Enumeration date
07/06/2012
Last updated
07/07/2022
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