Individual
JOHANNA FAVELA CHAIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3035 S JONES BLVD STE 1, LAS VEGAS, NV 89146-6766
(702) 829-1021
Mailing address
3130 S RAINBOW BLVD STE 304, LAS VEGAS, NV 89146-6212
(702) 202-3374
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
05/24/2022
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