Individual
PERVIN N/A GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 BINARY STARS ST, HENDERSON, NV 89044-4427
(702) 990-1094
Mailing address
2535 BINARY STARS ST, HENDERSON, NV 89044-4427
(702) 990-1094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
01/29/2020
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