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Individual

COURTNEY LEE DERICHSWEILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5765 S RAINBOW BLVD STE 111, LAS VEGAS, NV 89118-2537
(209) 559-8999
Mailing address
2725 ROSANNA ST, LAS VEGAS, NV 89117-3047
(209) 559-8999

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/01/2022
Last updated
02/01/2022
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