Individual
MICHAEL GUILLEBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 LASALLE, LAS VEGAS, NV 89106
(702) 980-8098
Mailing address
3150 W ANN RD UNIT 309, NORTH LAS VEGAS, NV 89031-7301
(702) 980-8038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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