Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | NV |
NPI | 1003250267 |
---|---|
Provider Name | Joseph Paul House |
First Address | North Las Vegas, NV 89031-7861 |
Second Address | Las Vegas, NV 89130-3195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2013 |
Last Update Date | 18/04/2013 |