Individual
MRS. YASMARY RODRIGUEZ FIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 S NELLIS BLVD APT 2174, LAS VEGAS, NV 89121-7722
(702) 908-4330
Mailing address
2675 S NELLIS BLVD APT 2174, LAS VEGAS, NV 89121-7722
(702) 908-4330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105306834
—
NV
Enumeration date
10/19/2017
Last updated
10/19/2017
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