Individual
MS. PAMELA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4310 CAMERON ST STE 11, LAS VEGAS, NV 89103-3826
(702) 570-5100
Mailing address
4310 CAMERON ST STE 11, LAS VEGAS, NV 89103-3826
(702) 570-5100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
02/26/2014
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