Individual
BRISA EVELYN MUSCAGLIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7251 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-8351
(702) 387-2300
Mailing address
3733 JAMES SLAGLE ST, LAS VEGAS, NV 89129-5022
(702) 600-0344
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417610585
—
NV
Enumeration date
07/01/2024
Last updated
07/25/2024
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