Individual
MRS. PAOLA PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5755 S RAINBOW BLVD STE 102, LAS VEGAS, NV 89118-2535
(321) 443-9191
Mailing address
5043 STORMY CIR, LAS VEGAS, NV 89119-2244
(702) 823-9088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2021
Last updated
07/22/2021
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