Individual
MYSTASIA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 EMERALD WOOD ST, LAS VEGAS, NV 89115-3512
(310) 903-6939
Mailing address
4010 EMERALD WOOD ST, LAS VEGAS, NV 89115-3512
(310) 903-6939
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/30/2025
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