Individual
JENNY PEREZ-AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7390 W SAHARA AVE, LAS VEGAS, NV 89117
(702) 900-4320
Mailing address
22505 WOODROE AVENUE, HAYWARD, CA 94541
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/01/2016
Last updated
06/13/2018
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