Individual
SUSANA NOEMI ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5275 VISTA BLVD STE A1, SPARKS, NV 89436-0840
(775) 420-5073
Mailing address
5275 VISTA BLVD STE A1, SPARKS, NV 89436-0840
(775) 420-9611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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