Individual
GRACE DESILETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2440 VASSAR ST STE 3, RENO, NV 89502-3224
(775) 448-6533
(775) 787-2751
Mailing address
2440 VASSAR ST STE 3, RENO, NV 89502-3224
(775) 448-6533
(775) 787-2751
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-46414
NV
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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