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Individual

EBONI SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
720 W CHEYENNE AVE, AVE, N LAS VEGAS, NV 89030-7807
(702) 487-5665
Mailing address
7661 WOVEN SANDS ST, STREET, LAS VEGAS, NV 89149-0493
(702) 646-0078

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1402226500
NV

Other

Enumeration date
01/04/2011
Last updated
01/04/2011
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