Individual
MS. WANDA LORRAINE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 W GOWAN RD APT 1106, NORTH LAS VEGAS, NV 89032-7784
(619) 804-8674
Mailing address
1827 W GOWAN RD APT 1106, NORTH LAS VEGAS, NV 89032-7784
(619) 804-8674
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1405830513
—
NV
Enumeration date
01/26/2023
Last updated
01/26/2023
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