Individual
BETHLEHEM MEKONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(725) 238-4115
Mailing address
7638 ISLEY AVE, LAS VEGAS, NV 89147-4003
(702) 824-3260
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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