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Individual

MIRELYS GONZALEZ FUNDORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
8201 CACTUS ROOT CT, LAS VEGAS, NV 89129-6809
(702) 335-5254
Mailing address
8201 CACTUS ROOT CT, LAS VEGAS, NV 89129-6809
(702) 335-5254

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/19/2026
Last updated
06/19/2026
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