Individual
CHAZDYN QUEBRAL-ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 W ANN RD STE 120, NORTH LAS VEGAS, NV 89031-4407
(702) 323-6555
(702) 323-6613
Mailing address
4278 LUNAR CANYON AVE, NORTH LAS VEGAS, NV 89084-5111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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