Individual
MARCUS WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 S RAINBOW BLVD, LAS VEGAS, NV 89145-5362
(702) 778-8922
Mailing address
101 S RAINBOW BLVD, LAS VEGAS, NV 89145-5362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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