Martez Milem
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982188702
StatusActive
Last updated in NPPESSep 18, 2018
Details
- NPI
- 1982188702
- Entity type
- Individual (NPI-1)
- Name
- Martez Milem
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2018
- Last updated
- Sep 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
865 N Eastern AveLas Vegas, NV 89101-2312
Phone 702-201-1692
Mailing address
865 N Eastern AveLas Vegas, NV 89101-2312
Phone 702-201-1692
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