Individual
EDMUND ROBERTO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
731 MALL RING CIR, SUITE 215, HENDERSON, NV 89014-6683
(702) 547-6971
(702) 547-6948
Mailing address
731 MALL RING CIR, SUITE 215, HENDERSON, NV 89014-6683
(702) 547-6971
(702) 547-6948
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-15-02170
NV
106E00000X
Assistant Behavior Analyst
Primary
0-19-9614
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-19-9614
BACB
NV
Enumeration date
04/14/2016
Last updated
06/18/2019
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