Shanice T Allen, Medical Assistant
Behavior Technician in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1124636501
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1124636501
- Entity type
- Individual (NPI-1)
- Name
- Shanice T Allen
- Credential
- Medical Assistant
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2020
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3450 W Cheyenne Ave Ste 300North Las Vegas, NV 89032-8223
Phone 702-792-0665
Mailing address
4650 N Rainbow Blvd Apt 2200Las Vegas, NV 89108-5765
Phone 702-759-6623
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