Individual
MS. SUSAN PHANEUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 E SUNSET RD #24, LAS VEGAS, NV 89120
(702) 270-3219
Mailing address
310 ANNABELLE LN APT 154, HENDERSON, NV 89014-7634
(702) 426-6756
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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