Most Relevant Information
Provider Data
| NPI Number: | 1003366642 |
| Provider Name: | PEGGY COLVIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/06/2016 |
| Last Updated: | 10/06/2016 |
Provider Practice Location
5803 W CRAIG RD
SUITE 105
LAS VEGAS
NV
891302536
Practice Location Phone/Fax
| Phone: | 7029015200 |
| Fax: |
Provider Mailing Location
5803 W CRAIG RD
SUITE 105
LAS VEGAS
NV
891302536
Provider Mailing Phone/Fax
| Phone: | 7029015200 |
| Fax: |