Individual
DELORES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6982 BATIK HARBOR CT, LAS VEGAS, NV 89148-2845
(702) 252-3122
Mailing address
6982 BATIK HARBOR CT, LAS VEGAS, NV 89148-2845
(702) 252-3122
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225C00000X
—
NV
Enumeration date
05/04/2016
Last updated
05/04/2016
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