Individual
TALIA AMALIA BROOKS GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 W OAKEY BLVD STE 111-O, LAS VEGAS, NV 89102-1581
(702) 861-0238
(702) 938-5896
Mailing address
5320 PADUA WAY, LAS VEGAS, NV 89107-0404
(702) 472-1975
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
376J00000X
Homemaker
Primary
NV20161065817
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821520016
—
NV
Enumeration date
01/24/2018
Last updated
07/24/2020
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