Individual
PAUL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3235 S EASTERN AVE, LAS VEGAS, NV 89169-3310
(702) 490-9009
(866) 737-6147
Mailing address
3235 S EASTERN AVE, LAS VEGAS, NV 89169-3310
(702) 490-9000
(866) 737-6147
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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