Individual
DEMARR WALLACE CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E BONANZA RD, LAS VEGAS, NV 89101-3038
(702) 219-3783
Mailing address
525 E BONANZA RD, LAS VEGAS, NV 89101-3038
(702) 219-3783
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
08/29/2023
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