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Individual

MARICELA DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2110 E FLAMINGO RD STE 150, LAS VEGAS, NV 89119
(702) 270-3219
(866) 833-2056
Mailing address
2110 E FLAMINGO RD STE 350, LAS VEGAS, NV 89119-5190
(702) 270-3219
(866) 833-2056

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
1405392297
NV
106S00000X
Behavior Technician
Primary
RBT-19-87032
NV

Other

Enumeration date
01/31/2019
Last updated
06/05/2019
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