Deandre Damar Palm
Behavior Analyst in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982191599
StatusActive
Last updated in NPPESApr 19, 2018
Details
- NPI
- 1982191599
- Entity type
- Individual (NPI-1)
- Name
- Deandre Damar Palm
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2018
- Last updated
- Apr 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
2921 N Tenaya WayLas Vegas, NV 89128-1409
Phone 702-942-1774 · Fax 702-942-1773
Mailing address
4792 E Utah AveLas Vegas, NV 89104-5926
Phone 702-978-9781
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