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Individual

HAZEL KAYE HOLBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
625 LACY LN, LAS VEGAS, NV 89107-4453
(702) 906-3391
Mailing address
625 LACY LN, LAS VEGAS, NV 89107-4453
(702) 906-3391

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT4621
NV

Other

Enumeration date
07/31/2025
Last updated
08/18/2025
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