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Individual

MOISES JOSHUA RENTERIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1707 VILLAGE CENTER CIR STE 140, LAS VEGAS, NV 89134-0577
(718) 215-5311
Mailing address
1707 VILLAGE CENTER CIR STE 140, LAS VEGAS, NV 89134-0577

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1546997
NV

Other

Enumeration date
04/04/2026
Last updated
04/06/2026
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