Individual
LAUREN HERNANDEZ MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 W SAHARA AVE, LAS VEGAS, NV 89146-0355
(702) 502-8021
Mailing address
3303 CASEY DR APT 102, LAS VEGAS, NV 89120-1175
(725) 279-4647
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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