Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | NV |
NPI | 1003403742 |
---|---|
Provider Name | Cynthia Lupian |
First Address | Las Vegas, NV 89118-0103 |
Second Address | Las Vegas, NV 89113-1834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2020 |
Last Update Date | 29/12/2020 |