Individual
CARISSA SIMONA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 W FLAMINGO RD STE C5, LAS VEGAS, NV 89103-0137
(702) 877-2520
Mailing address
5550 W FLAMINGO RD STE C5, LAS VEGAS, NV 89103-0137
(702) 877-2520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-105356
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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