Individual
IMELDA SIMON PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 E TWAIN AVE STE 105, LAS VEGAS, NV 89169-0820
(702) 937-0790
Mailing address
855 E TWAIN AVE STE 105, LAS VEGAS, NV 89169-0820
(702) 937-0790
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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