Individual
LIZBETH AVALOS-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7995 BLUE DIAMOND RD STE 102-304, LAS VEGAS, NV 89178-9301
(702) 848-6070
Mailing address
7995 BLUE DIAMOND RD STE 102-304, LAS VEGAS, NV 89178-9301
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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