Individual
NATHAN DESEABRA GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
9535 OAKLEY LN, RENO, NV 89521-6101
(775) 843-7574
Mailing address
9535 OAKLEY LN, RENO, NV 89521-6101
(775) 843-7574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-132574
NV
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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