Individual
BRIANNA JAZYLN PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3188
(702) 209-3544
Mailing address
833 DAWN DR, LAS VEGAS, NV 89110-2434
(702) 542-5242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT4970
NV
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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