Individual
MARQUITA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 LUNA ALEGRE ST, LAS VEGAS, NV 89115-7368
(520) 351-1063
Mailing address
1809 LUNA ALEGRE ST, LAS VEGAS, NV 89115-7368
(520) 351-1063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
12/23/2017
Last updated
06/16/2018
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