Individual
KA'IULANI-JOY CONLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9404 LUGO ST, LAS VEGAS, NV 89123-3999
(845) 551-4721
Mailing address
9404 LUGO ST, LAS VEGAS, NV 89123-3999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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