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Individual

MAKENNA WEISHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
7730 W SAHARA AVE STE 115, LAS VEGAS, NV 89117-2753
(702) 660-2005
Mailing address
7730 W SAHARA AVE STE 115, LAS VEGAS, NV 89117-2753
(702) 660-2005

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-19-95462
RBT CREDENTIAL
Enumeration date
09/11/2019
Last updated
02/09/2026
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