Individual
ACACIA RAVON MCCREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7351 W CHARLESTON BLVD UNIT 102, LAS VEGAS, NV 89117-1502
(702) 470-0620
Mailing address
7351 W CHARLESTON BLVD STE 120, LAS VEGAS, NV 89117-1572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2106502971
NV
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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