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Individual

MISS ANGELIQUE CHALALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5920 LAVENDER BREEZE ST, NORTH LAS VEGAS, NV 89081-6848
(702) 476-2777
Mailing address
245 SERENITY RIDGE CT, HENDERSON, NV 89052-5913
(702) 406-9879

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
NV
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/01/2024
Last updated
07/04/2024
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