Audriyana Ellistin Valles, RBT
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1336832575
StatusActive
Last updated in NPPESJun 1, 2023
Details
- NPI
- 1336832575
- Entity type
- Individual (NPI-1)
- Name
- Audriyana Ellistin Valles
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2023
- Certification date
- Jun 1, 2023
- Last updated
- Jun 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-258969 | NV | Yes |
Practice location
4534 Dennis WayLas Vegas, NV 89121-6607
Phone 702-306-7299
Mailing address
4534 Dennis WayLas Vegas, NV 89121-6607
Phone 702-306-7299
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