Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst |
NPI | 1013277599 |
---|---|
Provider Name | Shanyce Lavonne Steward |
First Address | North Las Vegas, NV 89081 |
Second Address | Las Vegas, NV 89101-4864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2012 |
Last Update Date | 18/05/2012 |