Individual
ADRIAN VASQUEZ-MARAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1707 VILLAGE CENTER CIRCLE, SUITE #140, LAS VEGAS, NV 89134
(757) 672-4174
Mailing address
1707 VILLAGE CENTER CIRCLE, SUITE #140, LAS VEGAS, NV 89134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-222201
NV
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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