Individual
JOVANNY NOLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
16499 N 137TH DR, SURPRISE, AZ 85374-4085
(480) 876-4899
Mailing address
16499 N 137TH DR, SURPRISE, AZ 85374-4085
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-507026
AZ
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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