| Wonderfully Made | |
|
4559 Sparwood Dr Las Vegas NV 89147-8212 | |
| (702) 994-1931 | |
| Not Available |
| Full Name | Wonderfully Made |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4559 Sparwood Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Sherita Thomas-mcdade (OWNER) |
| Authorized Official Contact | 7029941931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderfully Made 4559 Sparwood Dr Las Vegas NV 89147-8212 Ph: (702) 994-1931 | Wonderfully Made 4559 Sparwood Dr Las Vegas NV 89147-8212 Ph: (702) 994-1931 |
| NPI Number | 1275806549 |
|---|---|
| Provider Enumeration Date | 02/17/2012 |
| Last Update Date | 02/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275806549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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