Individual
MYIA MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 W SAHARA AVE STE 300, LAS VEGAS, NV 89146-0361
(702) 502-8021
Mailing address
1000 DUMONT BLVD APT 246, LAS VEGAS, NV 89169-4228
(702) 913-2216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT5526
NV
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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