Individual
GABRIEL ORDAZ JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 E PRATER WAY STE 107, SPARKS, NV 89434-8963
(775) 825-4744
(775) 351-1644
Mailing address
1625 E PRATER WAY STE 107, SPARKS, NV 89434-8963
(775) 825-4744
(775) 351-1644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT3150
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
NV
Other
Enumeration date
12/13/2022
Last updated
01/04/2023
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