Individual
DONOVAN SCOTT ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3852 PALOS VERDES ST, LAS VEGAS, NV 89119-6909
(702) 787-7771
Mailing address
3505 MUSTANG ST, LAS VEGAS, NV 89108-4928
(702) 787-7771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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