Emmanuel Alexander Navarrete Mendoza
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1295574366
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1295574366
- Entity type
- Individual (NPI-1)
- Name
- Emmanuel Alexander Navarrete Mendoza
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2024
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10294 Kadumba StLas Vegas, NV 89178-8012
Phone 702-587-8790
Mailing address
10294 Kadumba StLas Vegas, NV 89178-8012
Phone 702-587-8790
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