Individual
KRYSTAL PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 N MARTIN LUTHER KING BLVD, SUITE 122, NORTH LAS VEGAS, NV 89032
(702) 478-8432
Mailing address
3925 N MARTIN LUTHER KING BLVD, SUITE 122, NORTH LAS VEGAS, NV 89032
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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