Individual
MAITE MORALES PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6221 FAIRBANKS RD, LAS VEGAS, NV 89103-3235
(201) 898-6991
Mailing address
6221 FAIRBANKS RD, LAS VEGAS, NV 89103-3235
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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