Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003197161 |
---|---|
Provider Name | Miss Esmeralda Villeda |
First Address | N Las Vegas, NV 89030-6680 |
Second Address | N Las Vegas, NV 89032-5115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2011 |
Last Update Date | 02/09/2011 |