Individual
REBECCA RUSTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(888) 531-8388
Mailing address
3825 CAMBRIDGE ST # 337, LAS VEGAS, NV 89119-7474
(702) 881-3221
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NV
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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