Individual
NELIDA STEPHANIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 E VIKING RD, LAS VEGAS, NV 89119
(702) 502-6569
Mailing address
1608 E VIKING RD, LAS VEGAS, NV 89119-8109
(702) 502-6569
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15-09172
NV
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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