Individual
BRENDA SMITH BRAAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4616 W SAHARA AVE # 139, LAS VEGAS, NV 89102-3654
(702) 325-9226
Mailing address
PO BOX 775, RUTHER GLEN, VA 22546-0775
(702) 325-9226
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV20121718942
NV
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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