MR. Clinton Anthony Rossum JR.

NPI #1013330265 in North Las Vegas, Nevada

Provider Information

NPI Number: 1013330265
Entity Type: Individual
Name: MR. Clinton Anthony Rossum JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 23, 2014
Last Updated: Jan 23, 2014

Practice Location

Address: 5841 FERAL GARDEN ST
City: North Las Vegas
State: Nevada
ZIP Code: 89031-6894
Phone: (602) 330-8607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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