Individual
LISA IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8516 SUMMER VISTA AVE, LAS VEGAS, NV 89145-4844
(702) 423-4233
Mailing address
8516 SUMMER VISTA AVE, LAS VEGAS, NV 89145-4844
(702) 423-4233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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