Individual
AMANDA WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S JONES BLVD, LAS VEGAS, NV 89107-2658
(702) 502-8021
Mailing address
5510 INDIGO HILLS ST, NORTH LAS VEGAS, NV 89031-0605
(701) 425-7212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/09/2020
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