Individual
MRS. IRENE JUDITH NAKATO GRAVALLESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3660 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3188
(702) 209-3544
Mailing address
3660 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3188
(702) 209-3544
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT3669
NV
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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