Individual
LAVICA GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 E HAMMER LN, NORTH LAS VEGAS, NV 89081-2976
(702) 326-2529
Mailing address
1108 E HAMMER LN, NORTH LAS VEGAS, NV 89081-2976
(702) 326-2529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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