Individual
MISS LEYANIS CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4306 LORNA PL, LAS VEGAS, NV 89107-4156
(702) 826-9457
Mailing address
4306 LORNA PL, LAS VEGAS, NV 89107-4156
(702) 826-9457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/24/2017
Last updated
12/24/2017
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