Individual
DEANDRE DAMAR PALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2921 N TENAYA WAY, LAS VEGAS, NV 89128-1409
(702) 942-1774
(702) 942-1773
Mailing address
4792 E UTAH AVE, LAS VEGAS, NV 89104-5926
(702) 978-9781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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