Individual
JOSE ALEXIS NEVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11500 S EASTERN AVE STE 150, HENDERSON, NV 89052-5576
(760) 856-0607
(760) 856-5007
Mailing address
1487 SUNBURST DR, LAS VEGAS, NV 89110-1805
(702) 972-1650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1249103
NV
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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