Organization
ROGUE AUTISM REBELS
Active
Other names
Rogue Autism Rebels
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER SUAREZ (DIRECTOR OF FINANCE)
(702) 328-4634
Entity
Organization
Contact information
Practice address
10899 MONTGOMERY BLVD NE STE B, ALBUQUERQUE, NM 87111-3935
(505) 585-4135
Mailing address
7600 S RAINBOW BLVD APT 2145, LAS VEGAS, NV 89139-0500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
02/15/2022
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