Individual
DWAYNE SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 KEYSTONE AVE STE 304, RENO, NV 89503-5524
(775) 333-5222
Mailing address
63 KEYSTONE AVE STE 304, RENO, NV 89503-5524
(775) 770-8954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780899724
—
NV
Enumeration date
04/03/2012
Last updated
04/03/2012
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