Individual
ALEXIS MUTISYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
2440 VASSAR ST, STE.3, RENO, NV 89502-3453
(775) 448-6533
(775) 787-2751
Mailing address
2440 VASSAR ST, STE.3, RENO, NV 89502-3453
(775) 448-6533
(775) 787-2751
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-15-03062
NV
106S00000X
Behavior Technician
Primary
RBT-15-03062
NV
Other
Enumeration date
04/14/2016
Last updated
12/22/2020
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