Individual
ASHLEY JANNETT PALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7375 S PECOS RD STE 102, 7375 S PECOS RD STE 102, HENDERSON, NV 89120-7186
(702) 900-4320
Mailing address
552 VAN DORNUM AVE, HENDERSON, NV 89011-5363
(702) 239-8781
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1706763573
NV
Other
Enumeration date
05/17/2022
Last updated
04/24/2024
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