Individual
MAUTRICE BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 675-6314
Mailing address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 675-6314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12099-M
NV
106S00000X
Behavior Technician
RBT6077
NV
Other
Enumeration date
09/10/2014
Last updated
03/06/2026
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