Individual
VANESSA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2295 RENAISSANCE DR STE D, LAS VEGAS, NV 89119-6758
(702) 763-5379
Mailing address
2295 RENAISSANCE DR STE D, LAS VEGAS, NV 89119-6758
(702) 763-5379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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