Individual
MS. BANNELLY AYLIN GASPAR URBINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7227 W WINDMILL LN UNIT 110, LAS VEGAS, NV 89113-4605
(858) 285-5573
Mailing address
7227 W WINDMILL LN UNIT 110, LAS VEGAS, NV 89113-4605
(858) 285-5573
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
11/19/2020
Last updated
06/06/2023
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