Individual
EVELYN INDIRA BETANCOURT RICARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11500 S EASTERN AVE STE 150, HENDERSON, NV 89052-5576
(760) 856-0660
Mailing address
11500 S EASTERN AVE STE 150, HENDERSON, NV 89052-5576
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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