Individual
MAKALAH REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 N RANCHO DR, LAS VEGAS, NV 89130-3195
(702) 778-5300
(702) 778-5301
Mailing address
1325 SHOGUN CT UNIT 4, LAS VEGAS, NV 89128-3468
(702) 778-5300
(702) 778-5301
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2016
Last updated
10/29/2016
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