Individual
ALEXANDRIA SUSANA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 MCLEOD DR STE 5, LAS VEGAS, NV 89120-4431
(310) 406-1500
Mailing address
5546 PARLAY WAY UNIT 102, LAS VEGAS, NV 89122-2688
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT3355
NV
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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