Marisol Saucedo, Interventionist
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1770057770
StatusActive
Last updated in NPPESJan 14, 2019
Details
- NPI
- 1770057770
- Entity type
- Individual (NPI-1)
- Name
- Marisol Saucedo
- Credential
- Interventionist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2019
- Last updated
- Jan 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
408 S Jones BlvdLas Vegas, NV 89107-2658
Phone 702-502-8021
Mailing address
4216 Sunrise AveLas Vegas, NV 89110-4528
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