Individual
THOMAS GENNARO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3435 W CRAIG RD STE A, NORTH LAS VEGAS, NV 89032-5116
(702) 750-0377
Mailing address
1024 MOCHA MATTARI ST, HENDERSON, NV 89052-5012
(702) 523-3068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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