Individual
BIANCA SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7261 W CHARLESTON BLVD STE 101, LAS VEGAS, NV 89117-1679
(702) 396-0101
Mailing address
7261 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1636
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
321426
NV
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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