Individual
JOCHELLE TOLENTINO PALLERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 S RANCHO DR, LAS VEGAS, NV 89106-4873
(702) 564-2453
Mailing address
630 S RANCHO DR, LAS VEGAS, NV 89106-4873
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB753593
NV
Other
Enumeration date
08/02/2022
Last updated
08/09/2022
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