Individual
BERTA AVILES-LICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 W PLUMB LN, RENO, NV 89509-3053
(775) 379-2650
Mailing address
3580 W PLUMB LN, RENO, NV 89509-3053
(775) 379-2650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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