Organization
FUNXIONAL BEHAVIOR ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE JOY CORTEZ (CREDENTIALING SPECIALIST)
(310) 987-5009
Entity
Organization
Contact information
Practice address
8433 SABLE BEAUTY ST, LAS VEGAS, NV 89131-2055
(702) 964-8996
Mailing address
8433 SABLE BEAUTY ST, LAS VEGAS, NV 89131-2055
(702) 964-8996
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
03/20/2025
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