Individual
KERLLY VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2920 S RAINBOW BLVD STE 180, LAS VEGAS, NV 89146-6227
(702) 602-9393
Mailing address
2711 LOVINGTON DR, HENDERSON, NV 89074-3311
(702) 954-2777
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-358275
NV
Other
Enumeration date
01/16/2025
Last updated
12/01/2025
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