Individual
CHRISTIAN IPALARI RAFANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
4040 S EASTERN AVE STE 180, LAS VEGAS, NV 89119-0809
(702) 848-1696
Mailing address
4000 S EASTERN AVE STE 240, LAS VEGAS, NV 89119-0847
(702) 848-1696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1306531
NV
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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