Makaela Renee Wilfong
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1902531973
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1902531973
- Entity type
- Individual (NPI-1)
- Name
- Makaela Renee Wilfong
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2022
- Certification date
- Dec 28, 2023
- Last updated
- Dec 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-226130 | – | Yes |
| 106S00000X | Behavior Technician | RBT2806 | NV |
Practice location
6200 N Durango Dr Ste 110Las Vegas, NV 89149-3939
Phone 702-577-2606
Mailing address
6200 N Durango Dr Ste 110Las Vegas, NV 89149-3939
Phone 702-577-2606
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