Individual
MICHAEL CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2805 FREMONT ST, LAS VEGAS, NV 89104-2213
(702) 237-3889
Mailing address
6501 VEGAS DR APT 1030, LAS VEGAS, NV 89108-7773
(702) 237-3889
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
10/18/2018
Last updated
11/17/2020
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