Individual
ELIJAH GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9031 W LA MADRE WAY, LAS VEGAS, NV 89149-3536
(702) 646-5437
Mailing address
9031 W LA MADRE WAY, LAS VEGAS, NV 89149-3536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
07/19/2021
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