Individual
CHANZ WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3037 E WARM SPRINGS RD STE 300, LAS VEGAS, NV 89120-3759
(725) 271-6520
Mailing address
3037 E WARM SPRINGS RD STE 300, LAS VEGAS, NV 89120-3759
(725) 271-6520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-438131
NV
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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