Individual
AYAKA FREDRICKA MERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 N STEPHANIE ST STE 1514, HENDERSON, NV 89014-8902
(702) 550-2791
Mailing address
375 N STEPHANIE ST STE 1514, HENDERSON, NV 89014-8902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0770
NV
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NV
Other
Enumeration date
03/01/2022
Last updated
05/14/2026
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