Individual
DONNA MARIE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
604 W MOANA LN, RENO, NV 89509-4903
(775) 682-8686
Mailing address
1664 N VIRGINIA ST # MS 296, RENO, NV 89557-0002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-39943
NV
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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