Individual
WHITLEE MANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 W FLAMINGO RD STE C5, LAS VEGAS, NV 89103-0137
(702) 877-2520
(702) 877-2521
Mailing address
5550 W FLAMINGO RD STE C5, LAS VEGAS, NV 89103-0137
(702) 877-2520
(702) 877-2521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72546
—
106S00000X
Behavior Technician
RBT-18-50757
NV
Other
Enumeration date
03/04/2018
Last updated
06/18/2024
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