Individual
MAGELYN CABRAL CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2761 COUNCIL CREST CT, LAS VEGAS, NV 89142-3607
(702) 417-4628
Mailing address
2761 COUNCIL CREST CT, LAS VEGAS, NV 89142-3607
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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