Individual
CLEMENTINE LEON WILWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 848-1696
Mailing address
4557 STANDING BLUFF WAY, LAS VEGAS, NV 89130-5379
(702) 743-4254
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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