Individual
CLARISSA VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
731 MALL RING CIR STE 215, HENDERSON, NV 89014-6691
(702) 547-6971
(702) 547-6948
Mailing address
731 MALL RING CIR STE 215, HENDERSON, NV 89014-6691
(702) 547-6971
(702) 547-6948
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-57473
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-57473
BACB
NV
Enumeration date
06/08/2018
Last updated
06/08/2018
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