Individual
TATIANA SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 E FLAMINGO RD # 150, LAS VEGAS, NV 89119-5190
(702) 270-3219
Mailing address
4521 E BONANZA RD, LAS VEGAS, NV 89110-3391
(213) 255-8414
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
193400000X
NV
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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