Individual
JANAY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3281 N DECATUR BLVD, 180, LAS VEGAS, NV 89130-3263
(702) 396-1768
Mailing address
3281 NORTH DECATUR BLVD, 180, LAS VEGAS, NV 89130
(702) 396-1768
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NV20171052091
NV
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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