Individual
DAVID QUESADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIFE PROGRAM ABA
Contact information
Practice address
7055 WINDY ST, LAS VEGAS, NV 89119-4030
(702) 000-0000
Mailing address
8101 W FLAMINGO RD, LAS VEGAS, NV 89147-7408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1073818118
NV
Other
Enumeration date
01/21/2011
Last updated
08/07/2019
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