Individual
OLUSOGA ALAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 E SAHARA AVE STE 108, LAS VEGAS, NV 89104-3707
(702) 727-3902
Mailing address
1810 E SAHARA AVE STE 108, LAS VEGAS, NV 89104-3707
(702) 218-4370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
NV
Enumeration date
07/07/2015
Last updated
04/04/2017
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