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Individual

CRISTINA PASSALACQUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2535 W CHEYENNE AVE, STE. 104, NORTH LAS VEGAS, NV 89032-8929
(702) 202-2567
Mailing address
2535 W CHEYENNE AVE, STE. 104, NORTH LAS VEGAS, NV 89032-8929

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103K00000X
Behavior Analyst

Other

Enumeration date
04/17/2013
Last updated
06/07/2016
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