Individual
MICHAEL CREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6325 S JONES BLVD STE 400, LAS VEGAS, NV 89118-3332
(702) 618-9120
Mailing address
1000 DUMONT BLVD APT B230, LAS VEGAS, NV 89169-4263
(386) 283-1508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-450921
NV
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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