Individual
SHONTE RENEE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 W CHEYENNE AVE, #30, LAS VEGAS, NV 89030-1625
(702) 487-5665
Mailing address
720 W CHEYENNE AVE, #30, LAS VEGAS, NV 89030-1625
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000595313
—
NV
Enumeration date
02/07/2012
Last updated
02/07/2012
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