Individual
MA LEAH ROBLE MARAVILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9999 W KATIE AVE SUITE 1313, LAS VEGAS, NV 89147
(602) 617-8111
Mailing address
9999 W KATIE AVE SUITE 1313, LAS VEGAS, NV 89147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22
—
NV
Enumeration date
03/18/2016
Last updated
03/18/2016
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