Nicole Mendezdelacruz
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1396258356
StatusActive
Last updated in NPPESNov 13, 2017
Details
- NPI
- 1396258356
- Entity type
- Individual (NPI-1)
- Name
- Nicole Mendezdelacruz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2017
- Last updated
- Nov 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6897 W Charleston BlvdLas Vegas, NV 89117-1640
Phone 888-505-1637 · Fax 888-501-0472
Mailing address
6897 W Charleston BlvdLas Vegas, NV 89117-1640
Phone 888-505-1637 · Fax 888-501-0472
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