Individual
PEDRO GINO PASSALACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3105 COLEMAN ST, B, NORTH LAS VEGAS, NV 89032-3807
(702) 202-2567
(702) 202-6919
Mailing address
5575 SIMMONS ST, 1-363, NORTH LAS VEGAS, NV 89031-9009
(702) 202-2567
(702) 202-6919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/31/2013
Last updated
10/26/2015
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