Individual
TY-YIVRI GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4107 W CHEYENNE AVE STE 109, NORTH LAS VEGAS, NV 89032-3476
(702) 574-5297
(702) 629-7952
Mailing address
4107 W CHEYENNE AVE STE 109, NORTH LAS VEGAS, NV 89032-3476
(702) 574-5297
(702) 629-7952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
102617
NV
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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