Individual
GLENDA GONZALEZ GAVILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N RAINBOW BLVD STE 170, LAS VEGAS, NV 89107-1189
(702) 633-6072
Mailing address
800 N RAINBOW BLVD STE 170, LAS VEGAS, NV 89107-1189
(702) 633-6072
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/27/2020
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