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Individual

MIA HOLLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7473 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-0265
(702) 483-7503
Mailing address
11037 MEADOW LEAF AVE, LAS VEGAS, NV 89144-4565

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/30/2013
Last updated
07/30/2013
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