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Individual

DONALD R HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QBA

Contact information

Practice address
3430 E FLAMINGO RD, STE 220, LAS VEGAS, NV 89121-5003
(702) 202-2902
(702) 202-6551
Mailing address
1350 E FLAMINGO RD, BOX 577, LAS VEGAS, NV 89119-5263
(702) 202-2902
(702) 202-6551

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9005055395
NV
Enumeration date
06/20/2011
Last updated
06/21/2011
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