Individual
CHARLENE COFREROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 S VALLEY VIEW BLVD STE 1C, LAS VEGAS, NV 89102-0116
(725) 263-6707
Mailing address
4738 VIA RENALDO, LAS VEGAS, NV 89103-2606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
106S00000X
Behavior Technician
—
NV
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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