Individual
NEW CHUENCHAROENWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5420 W SAHARA AVE STE 201, LAS VEGAS, NV 89146
(702) 882-7827
(702) 522-9336
Mailing address
5420 W SAHARA AVE STE 201, LAS VEGAS, NV 89146-0389
(702) 882-7827
(702) 522-9336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-19980
NV
225400000X
Rehabilitation Practitioner
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Other
Enumeration date
08/29/2014
Last updated
05/25/2018
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