Individual
BRIAN D RENTIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4730 E. CRAIG RD #2160, LAS VEGAS, NV 89115
(702) 413-8668
Mailing address
4730 E CRAIG RD UNIT 2160, LAS VEGAS, NV 89115-1864
(702) 413-8668
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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