Individual
FABRIENNE ALICIA BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10143 CLIMBING LILY ST, LAS VEGAS, NV 89183
(702) 480-8599
Mailing address
10143 CLIMBING LILY ST, LAS VEGAS, NV 89183-7307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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