Individual
AIDAN VINCENT ANSELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7995 BLUE DIAMOND RD, LAS VEGAS, NV 89178-9301
(702) 848-6070
Mailing address
7995 BLUE DIAMOND RD, LAS VEGAS, NV 89178-9301
(702) 848-6070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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