Individual
MARILYN NICOLE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3713 EL JARDIN AVE, LAS VEGAS, NV 89102-3821
(702) 600-7417
Mailing address
3713 EL JARDIN AVE, LAS VEGAS, NV 89102-3821
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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