Individual
ALEXANDER LUCAS COCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5622 DAWN FALLS ST, LAS VEGAS, NV 89148-7649
(360) 450-1551
Mailing address
5622 DAWN FALLS ST, LAS VEGAS, NV 89148-7649
(360) 450-1551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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