Individual
ATINUKE DARAMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 W CHARLESTON BLVD STE N, LAS VEGAS, NV 89102-1651
(702) 822-0447
Mailing address
3920 W CHARLESTON BLVD STE N, LAS VEGAS, NV 89102-1651
(702) 478-5541
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-2539549
—
NV
Enumeration date
06/01/2022
Last updated
06/01/2022
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