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Individual

MARIEL ANJELINE KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
7260 W AZURE DR STE 140-44, LAS VEGAS, NV 89130-7999
(702) 789-7282
Mailing address
7260 W AZURE DR STE 140-44, LAS VEGAS, NV 89130-7999
(702) 789-7282

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-61537
CA
103K00000X
Behavior Analyst
Primary
LBA0820
NV
106S00000X
Behavior Technician
15-10904
CA

Other

Enumeration date
12/21/2017
Last updated
10/13/2023
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