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1760049621
PROVIDENT PLACE
N LAS VEGAS, NV
NPI
1760049621
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Entity Type
Organization
Authorized Contact
KATIE SMITH
Owner
702-561-3408
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2019-05-24
Last Update Date
2019-05-24
Business Address
PROVIDENT PLACE
611 SENECA RIDGE AVE
N LAS VEGAS, NV 89084-1315
Phone number: 702-561-3408
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Mailing Address
PROVIDENT PLACE
611 SENECA RIDGE AVE
N LAS VEGAS, NV 89084-1315
Phone number: 702-561-3408
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