Dyonna Cannon
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962047993
StatusActive
Last updated in NPPESNov 13, 2019
Details
- NPI
- 1962047993
- Entity type
- Individual (NPI-1)
- Name
- Dyonna Cannon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2019
- Last updated
- Nov 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7125 Grand Montecito Pkwy Ste 130Las Vegas, NV 89149-0261
Phone 702-396-0101
Mailing address
3300 N Tenaya Way Apt 2109Las Vegas, NV 89129-6252
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