Most Relevant Information
Provider Data
| NPI Number: | 1003397092 |
| Provider Name: | AMANDA RAVENSTAD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2018 |
| Last Updated: | 07/16/2024 |
Provider Practice Location
1161 S VALLEY VIEW BLVD
LAS VEGAS
NV
891021854
Practice Location Phone/Fax
| Phone: | |
| Fax: |
Provider Mailing Location
3033 ENGLISH PALMER RD
NORTH LAS VEGAS
NV
890861673
Provider Mailing Phone/Fax
| Phone: | 2035246465 |
| Fax: |