Individual
ESMERALDA PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7285 BLUESTONE DR, RENO, NV 89511-1320
(775) 391-0363
Mailing address
13075 KERNITE ST, RENO, NV 89506-1651
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
LABA415
NV
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100557847
—
NV
Enumeration date
02/16/2018
Last updated
07/06/2022
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