Individual
ATAVIASHATA OATES-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 CORPORATE CENTER DR STE 204, NORTH LAS VEGAS, NV 89030-7551
(702) 643-1381
Mailing address
4345 CORPORATE CENTER DR, NORTH LAS VEGAS, NV 89030-7550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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