Individual
MARIAH TARESSA GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
630 S RANCHO DR STE D, LAS VEGAS, NV 89106-4849
(702) 996-9505
Mailing address
630 S RANCHO DR STE D, LAS VEGAS, NV 89106-4849
(702) 996-9505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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