Individual
EARL NISWONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1744 W HORIZON RIDGE PKWY, HENDERSON, NV 89012-4833
(702) 376-2838
Mailing address
290 SUTTON HILLS PL, HENDERSON, NV 89002-9745
(702) 376-2838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
227800000X
Certified Respiratory Therapist
Primary
—
NV
Other
Enumeration date
07/24/2015
Last updated
11/29/2025
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