Individual
MICHAEL ANTHONY QUAGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 CHANDLER AVE STE 4, LAS VEGAS, NV 89120-4059
(702) 331-2114
(702) 543-7553
Mailing address
5248 PALM PINNACLE AVE, LAS VEGAS, NV 89139-5682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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