Individual
TAKARA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7552 DURHAM HALL AVE UNIT 201, LAS VEGAS, NV 89130-7962
(702) 772-6796
Mailing address
7552 DURHAM HALL AVE UNIT 201, LAS VEGAS, NV 89130-7962
(702) 772-6796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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