Individual
MANUEL SANTISTEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3974 E CAREY AVE, LAS VEGAS, NV 89115-5342
(702) 400-1739
Mailing address
3974 E CAREY AVE, LAS VEGAS, NV 89115-5342
(702) 400-1739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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