Individual
LAVELL WORTHY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2113 SUN AVE, APT B, NORTH LAS VEGAS, NV 89030-0165
(702) 957-8550
Mailing address
2113 SUN AVE, APT B, NORTH LAS VEGAS, NV 89030-0165
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV20171131610
NV
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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