Individual
JENNIFER GUADALUPE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5765 S RAINBOW BLVD STE 111, LAS VEGAS, NV 89118-2537
(702) 547-6971
(702) 547-6948
Mailing address
1060 WIGWAM PKWY, HENDERSON, NV 89074-8162
(702) 547-6971
(702) 547-6948
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-
NV
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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