Individual
GLADYS TENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5185 CAMINO AL NORTE, SUITE 130, NORTH LAS VEGAS, NV 89031-2415
(702) 522-9962
(702) 522-9967
Mailing address
5185 CAMINO AL NORTE, SUITE 130, NORTH LAS VEGAS, NV 89031-2415
(702) 522-9962
(702) 522-9967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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