Individual
MISS AQUEELAH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6484 W CHEYENNE AVE, LAS VEGAS, NV 89108-4927
(678) 613-1501
Mailing address
6484 W CHEYENNE AVE, LAS VEGAS, NV 89108-4927
(678) 613-1501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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