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Individual

PRINCESS LLYAN LALATAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
7995 BLUE DIAMOND RD STE 102, LAS VEGAS, NV 89178-9408
(702) 848-6070
Mailing address
9405 S EASTERN AVE APT 2105, LAS VEGAS, NV 89123-3997
(808) 464-8509

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT3084
NV

Other

Enumeration date
12/05/2022
Last updated
12/05/2022
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