Individual
FATOUMATA BINTA BOGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8137 SAN MATEO ST, LAS VEGAS, NV 89085
(702) 542-6838
Mailing address
8137 SAN MATEO ST, NORTH LAS VEGAS, NV 89085-2305
(702) 524-6838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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