Provider Demographics
NPI:1861829921
Name:BONDS, ANNUSKA
Entity Type:Individual
Prefix:
First Name:ANNUSKA
Middle Name:
Last Name:BONDS
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 1:6800 E LAKE MEAD BLVD
Mailing Address - Street 2:UNIT 1028
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89156-1119
Mailing Address - Country:US
Mailing Address - Phone:702-487-3154
Mailing Address - Fax:
Practice Address - Street 1:6800 E LAKE MEAD BLVD
Practice Address - Street 2:UNIT 1028
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89156-1119
Practice Address - Country:US
Practice Address - Phone:702-487-3154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst