Individual
AUDREY ELLENE CORPUZ VIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8433 SABLE BEAUTY ST, LAS VEGAS, NV 89131
(702) 623-3363
Mailing address
304 S JONES BLVD UNIT 7733, LAS VEGAS, NV 89107-2623
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-268092
NV
Other
Enumeration date
05/30/2023
Last updated
06/13/2025
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