Individual
PAOLA ANAYA JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LOS ALTOS PKWY STE 109, SPARKS, NV 89436-7754
(209) 505-0634
Mailing address
2450 SENECA DR, RENO, NV 89506-9111
(209) 968-0574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT0866
NV
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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