Individual
CLARISSA ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4623 W DESERT INN RD, LAS VEGAS, NV 89102-7116
(775) 523-8699
(702) 410-9644
Mailing address
4623 W DESERT INN RD, LAS VEGAS, NV 89102-7116
(775) 523-8699
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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