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Individual

GABRIELLA MARIE NELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
630 S RANCHO DR STE A, LAS VEGAS, NV 89106-4849
(702) 998-9505
(702) 527-7939
Mailing address
57 W 1124 N APT 1, LOGAN, UT 84341-6851

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-05675
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730565375
NV
01
RBT-15-05675
BEHAVIOR TECHNICIAN REGISTRY
NV
Enumeration date
08/05/2015
Last updated
02/15/2018
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