Individual
MIA DUVERNEAU-MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 S RANCHO DR STE 170, LAS VEGAS, NV 89102-2216
(888) 611-0870
Mailing address
1127 S RANCHO DR STE 170, LAS VEGAS, NV 89102-2216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-160450
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-160450
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
RBT1634
BOARD OF APPLIED BEHAVIOR ANALYSIS
NV
Enumeration date
04/14/2022
Last updated
04/14/2022
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