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Individual

MARK BEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6671 LAS VEGAS BLVD S UNIT 210, LAS VEGAS, NV 89119-3289
(833) 223-8326
Mailing address
225 S STEPHANIE ST APT 1611, HENDERSON, NV 89012-4412
(562) 714-2276

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1126
NV

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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