Individual
ALYSSA HAYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9163 W FLAMINGO RD STE 100, LAS VEGAS, NV 89147-6458
(702) 565-1894
Mailing address
9163 W FLAMINGO RD STE 100, LAS VEGAS, NV 89147-6458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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