Individual
JHOANA DELENA FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3926 BROKEN OAK LN, NORTH LAS VEGAS, NV 89032-0129
(941) 779-4472
Mailing address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 848-1696
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1021
NV
Other
Enumeration date
01/06/2020
Last updated
01/13/2020
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