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Individual

MARIAH ANN ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
408 S JONES BLVD, LAS VEGAS, NV 89107-2658
(702) 502-8021
Mailing address
408 S JONES BLVD, LAS VEGAS, NV 89107-2658
(702) 502-8021
(866) 833-2056

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-57306
MO
106S00000X
Behavior Technician
NV

Other

Enumeration date
08/23/2018
Last updated
02/03/2022
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