Individual
DONNA ALICE RENTERIA-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 E TROPICANA AVE STE 160, LAS VEGAS, NV 89119-8319
(702) 980-2416
Mailing address
1516 E TROPICANA AVE STE 160, LAS VEGAS, NV 89119-8319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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