Individual
MS. IVIE S TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9535 OAKLEY LN, RENO, NV 89521-6101
(775) 843-7575
Mailing address
9535 OAKLEY LN, RENO, NV 89521-6101
(775) 230-2314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27-2976428
—
NV
Enumeration date
08/28/2019
Last updated
08/28/2019
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