Individual
MS. CASANDRA MIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10112 RUGGLES MANSION AVE, LAS VEGAS, NV 89166-5247
(562) 321-8638
Mailing address
408 S JONES BLVD, LAS VEGAS, NV 89107-2658
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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