Individual
ELIN TERESA HERVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 E FLAMINGO RD, LAS VEGAS, NV 89119-5190
(702) 270-3219
Mailing address
40 QUAIL RUN RD, HENDERSON, NV 89014-2148
(415) 786-2761
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-25798
NV
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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