Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003259318 |
---|---|
Provider Name | Diamond Thornton |
First Address | Las Vegas, NV 89107 |
Second Address | Las Vegas, NV 89107-3835 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 17/04/2013 |