Ibiandi Marquetti-Varona, QBA
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164051611
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1164051611
- Entity type
- Individual (NPI-1)
- Name
- Ibiandi Marquetti-Varona
- Credential
- QBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2020
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4714 E Flamingo RdLas Vegas, NV 89121-4709
Phone 702-658-7770
Mailing address
4714 E Flamingo RdLas Vegas, NV 89121-4709
Phone 702-658-7770
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