Individual
LEONA FUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 S FORT APACHE RD STE 102, LAS VEGAS, NV 89117-8700
(702) 824-3629
Mailing address
2551 S FORT APACHE RD STE 102, LAS VEGAS, NV 89117-8700
(702) 824-3629
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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