Individual
BRANDON AUGUSTE TABAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5575 S DURANGO DR STE 102, LAS VEGAS, NV 89113-1834
(702) 209-3544
(725) 205-3800
Mailing address
9718 MASPALOMAS ST, LAS VEGAS, NV 89178-7512
(702) 580-6678
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
08/31/2022
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