Roberto Santana De La Nuez
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1215518436
StatusActive
Last updated in NPPESApr 19, 2021
Details
- NPI
- 1215518436
- Entity type
- Individual (NPI-1)
- Name
- Roberto Santana De La Nuez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2021
- Certification date
- Apr 19, 2021
- Last updated
- Apr 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2785 E Desert Inn Rd Ste 210Las Vegas, NV 89121-3624
Phone 702-665-9793
Mailing address
261 Single Petal StHenderson, NV 89074-8786
Phone 626-674-1082
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