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Individual

DIANA BADEO LIBIRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6363 S PECOS RD STE 206, LAS VEGAS, NV 89120-6293
(702) 850-2691
Mailing address
1851 N GREEN VALLEY PKWY APT 1714, HENDERSON, NV 89074-5806
(702) 497-4925

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-69474
CA
247200000X
Other Technician
RBT-18-69474
CA

Other

Enumeration date
01/10/2019
Last updated
05/12/2021
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