Organization
BE EMPOWERED HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA DEPAULIS (OWNER)
(775) 434-9979
Entity
Organization
Contact information
Practice address
1060 ROBERTA CT., FALLON, NV 89406
(775) 434-9979
(800) 422-2039
Mailing address
PO BOX 893, FALLON, NV 89407
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
01/16/2019
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