Individual
LA SHEAYA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 W CRAIG RD, NORTH LAS VEGAS, NV 89032-5118
(702) 964-5693
Mailing address
642 ANA RAQUEL AVE, NORTH LAS VEGAS, NV 89031-7828
(702) 964-5693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7305564
—
AK
Enumeration date
03/05/2020
Last updated
03/05/2020
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