Individual
JOSEPH WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128-0381
(702) 405-8088
Mailing address
911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128-0381
(702) 405-8088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
NO SPECIFIED
—
Enumeration date
07/26/2011
Last updated
05/05/2024
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