Individual
RAEANNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 S VALLEY VIEW BLVD, LAS VEGAS, NV 89102-1854
(702) 486-7670
(702) 486-7686
Mailing address
6920 KINKENON DR, LAS VEGAS, NV 89145-6215
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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