Yosbany Sanjudo
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1366944779
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1366944779
- Entity type
- Individual (NPI-1)
- Name
- Yosbany Sanjudo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2018
- Certification date
- Jan 4, 2021
- Last updated
- Jan 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
800 N Rainbow Blvd Ste 174Las Vegas, NV 89107-1189
Phone 702-633-6072
Mailing address
800 N Rainbow Blvd Ste 174Las Vegas, NV 89107-1189
Phone 702-633-6072
Other practice locations
2575 S Cimarron Rd
Las Vegas, NV 89117-7653
Las Vegas, NV 89117-7653
Phone 702-871-0002 · Fax 702-871-0201
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