Individual
DANIELLA LOUVISA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5725 S VALLEY VIEW BLVD, LAS VEGAS, NV 89118-3130
(757) 672-4174
Mailing address
8925 HARMONY GROVE AVE, LAS VEGAS, NV 89148-4944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/23/2024
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