Individual
WONG LORENE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 843-6500
(702) 543-5109
Mailing address
4344 CHEYENNE AVE, NORTH LAS VEGAS, NV 89032
(702) 843-6500
(702) 543-5109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
NV
Enumeration date
01/14/2016
Last updated
01/14/2016
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