Individual
MR. MARK Y SHIMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER RECOVER SPECIAL
Contact information
Practice address
2655 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89146-5100
(702) 478-7444
(702) 478-7864
Mailing address
2655 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89146-5100
(702) 478-7444
(702) 478-7864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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