Individual
MINA TAIROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6771 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89146-9016
(702) 826-1010
Mailing address
6771 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89146-9016
(702) 826-1010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-303439
NV
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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