Individual
MICHAEL MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1288 MILLER AVE, LAS VEGAS, NV 89106-2210
(702) 556-4277
Mailing address
1414 LORILYN AVE #3, LAS VEGAS, NV 89119
(702) 556-4277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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