Individual
DEZARIE ROSSNAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 N RANCHO DR STE 150, LAS VEGAS, NV 89130-3439
(702) 820-8891
Mailing address
4255 VEGAS VALLEY DR, LAS VEGAS, NV 89121-7125
(702) 668-8291
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-61554
NV
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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