Individual
REGINALD R. GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N RAINBOW BLVD # 148, LAS VEGAS, NV 89107-1189
(702) 778-8922
(702) 778-8789
Mailing address
800 NORTH RAINBOW BLVD STE148, LAS VEGAS, NV 89107
(702) 778-8922
(702) 778-8789
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271538272
—
NV
Enumeration date
10/31/2011
Last updated
10/31/2011
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