Individual
SARA NICOLE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 DALECREST DR UNIT 1054, LAS VEGAS, NV 89129-1762
(702) 541-2567
(702) 541-2567
Mailing address
3800 DALECREST DR UNIT 1054, LAS VEGAS, NV 89129-1762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0614
—
NV
Enumeration date
08/22/2013
Last updated
08/22/2013
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