Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1033737622 |
---|---|
Provider Name | Cindy Guadalupe Sandoval-Aleman |
First Address | Las Vegas, NV 89146-1407 |
Second Address | Las Vegas, NV 89102-8210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2020 |
Last Update Date | 09/07/2020 |