Reinier Mola Gandol
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1407522014
StatusActive
Last updated in NPPESDec 14, 2022
Details
- NPI
- 1407522014
- Entity type
- Individual (NPI-1)
- Name
- Reinier Mola Gandol
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2021
- Certification date
- Dec 14, 2022
- Last updated
- Dec 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
4820 El Escorial DrLas Vegas, NV 89121-6805
Phone 702-510-9229
Mailing address
4820 El Escorial DrLas Vegas, NV 89121-6805
Phone 702-510-9229
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