Individual
MR. MICHAEL MAZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3660 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3188
(702) 209-3544
(725) 205-3800
Mailing address
3660 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3188
(702) 209-3544
(725) 205-3800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24661
NV
Other
Enumeration date
05/03/2017
Last updated
09/08/2020
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