Individual
EDDY PEREZ-MAZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1432 ROBIN ST, LAS VEGAS, NV 89106-1995
(702) 539-2199
Mailing address
1432 ROBIN ST, LAS VEGAS, NV 89106-1995
(702) 539-2199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2104099769
NV
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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