Individual
JULIAN LIWANAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2440 VASSAR ST STE 3, RENO, NV 89502-3224
(775) 448-6533
Mailing address
2440 VASSAR ST STE 3, RENO, NV 89502-3224
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-110434
NV
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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