Individual
ALICIA MAYLEN SUST DUENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8805 JEFFREYS ST, LAS VEGAS, NV 89123-4877
(702) 574-9990
Mailing address
8805 JEFFREYS ST, LAS VEGAS, NV 89123-4877
(702) 574-9990
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-440974
NV
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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