Individual
IVETTE STEPHANIE GARCIA RETIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1591 E DESERT INN RD, LAS VEGAS, NV 89169
(702) 202-0291
Mailing address
1591 E DESERT INN RD, LAS VEGAS, NV 89169-2502
(702) 525-6889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
06/08/2019
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