Individual
SHANTARA BELNAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 TOPAZ ST STE 170, LAS VEGAS, NV 89121-3906
(702) 268-7604
Mailing address
6363 S PECOS RD STE 206, LAS VEGAS, NV 89120-6293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5096
NV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/04/2020
Last updated
08/09/2022
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