Individual
RYAM LARIA LUCILLE ALICDAN TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9132 BUSHY TAIL AVE UNIT 101, LAS VEGAS, NV 89149-3137
(702) 862-0037
Mailing address
9132 BUSHY TAIL AVE UNIT 101, LAS VEGAS, NV 89149-3137
(702) 862-0037
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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