Provider Demographics
NPI:1528419280
Name:SWEETMAN, ONNOLEIGH
Entity Type:Individual
Prefix:
First Name:ONNOLEIGH
Middle Name:
Last Name:SWEETMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 ALTA DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-3937
Mailing Address - Country:US
Mailing Address - Phone:702-816-2595
Mailing Address - Fax:702-816-2574
Practice Address - Street 1:5021 ALTA DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-3937
Practice Address - Country:US
Practice Address - Phone:702-816-2595
Practice Address - Fax:702-816-2574
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst