Individual
MICHELLE RAE AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 BETTY LN, WINNEMUCCA, NV 89445-9403
(775) 304-7159
Mailing address
9150 BETTY LN, WINNEMUCCA, NV 89445-9403
(775) 304-7159
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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