Individual
LYNDA JO PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6295 MCLEOD DR STE 15, LAS VEGAS, NV 89120-4434
(702) 270-3219
Mailing address
9454 MAGNIFICENT AVE, LAS VEGAS, NV 89148-4590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-183168
NV
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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