Individual
GINA VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.B.T.
Contact information
Practice address
220 PALO VERDE DR, HENDERSON, NV 89015-6027
(702) 538-1530
Mailing address
220 PALO VERDE DR, HENDERSON, NV 89015-6027
(702) 538-1530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-23043
NV
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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