Individual
MARIAH LEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7251 W LAKE MEAD BLVD STE 300, LAS VEGAS, NV 89128-8380
(702) 387-2300
Mailing address
2180 E WARM SPRINGS RD, LAS VEGAS, NV 89119-0438
(951) 271-2849
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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