Individual
BROOKE COLLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 W ANN RD STE 120, NORTH LAS VEGAS, NV 89031-4407
(702) 323-6555
Mailing address
3850 W ANN RD STE 120, NORTH LAS VEGAS, NV 89031-4407
(702) 323-6555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-157102
NV
106S00000X
Behavior Technician
Primary
RBT-21-158334
NV
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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