Individual
ALEJANDDRA MAYORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10230 DEERFIELD BEACH AVE UNIT 202, LAS VEGAS, NV 89129-1080
(702) 587-1074
Mailing address
10230 DEERFIELD BEACH AVE UNIT 202, LAS VEGAS, NV 89129-1080
(702) 587-1074
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702-587-1074
PHONE NUMBER
—
Enumeration date
06/10/2019
Last updated
06/10/2019
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