Individual
STEFANY MASSICOTTE GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
116 MADGE LN, LAS VEGAS, NV 89110-5010
(702) 503-9315
(702) 503-9315
Mailing address
116 MADGE LN, LAS VEGAS, NV 89110-5010
(702) 503-9315
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26321
HI
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2022
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