Individual
ILEANA DEVERAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5765 S RAINBOW BLVD STE 101-102, LAS VEGAS, NV 89118-2536
(702) 412-8578
Mailing address
461 21ST AVE S, NASHVILLE, TN 37240-1104
(702) 412-8578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
02/13/2024
Last updated
03/07/2026
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