Individual
ISAIAH CAPANANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
7830 W ANN RD STE 140, LAS VEGAS, NV 89149-5605
(702) 389-5476
(792) 389-2520
Mailing address
7830 W ANN RD STE 140, LAS VEGAS, NV 89149-5605
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-158368
BACB
—
Enumeration date
09/07/2021
Last updated
09/07/2021
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