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Organization
ROGUE AUTISM REBELS
Active
Organization
ROGUE AUTISM REBELS
Active
Other names
Rogue Autism Rebels
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER SUAREZ (DIRECTOR OF FINANCE)
(702) 328-4634
Entity
Organization
Contact information
Practice address
10899 MONTGOMERY BLVD NE STE B, ALBUQUERQUE, NM 87111-3935
(505) 585-4135
Mailing address
7600 S RAINBOW BLVD APT 2145, LAS VEGAS, NV 89139-0500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
02/15/2022
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