Gwendallyn Beatty
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1669936670
StatusActive
Last updated in NPPESJan 23, 2019
Details
- NPI
- 1669936670
- Entity type
- Individual (NPI-1)
- Name
- Gwendallyn Beatty
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2019
- Last updated
- Jan 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7390 W Sahara Ave Ste 260Las Vegas, NV 89117-2765
Phone 702-900-4320 · Fax 608-646-6124
Mailing address
7390 W Sahara Ave Ste 260Las Vegas, NV 89117-2765
Phone 702-900-4320 · Fax 608-646-6124
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