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Individual

AIYANA LYNETTE BIBBEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 LOS ALTOS PKWY STE 109, SPARKS, NV 89436-7754
(775) 815-7952
Mailing address
8000 OFFENHAUSER DR APT 22H, RENO, NV 89511-2307

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/12/2020
Last updated
03/12/2020
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