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Individual

TYRONE COOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QBA

Contact information

Practice address
3430 E FLAMINGO RD, SUITE 237, LAS VEGAS, NV 89121-5003
(702) 834-5849
(702) 483-6288
Mailing address
1350 E FLAMINGO RD, BOX 577, LAS VEGAS, NV 89119-5263
(702) 834-5849
(702) 483-6288

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9005055395
NV
Enumeration date
01/11/2011
Last updated
01/11/2011
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