Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-20-135952 | NV |
NPI | 1003422718 |
---|---|
Provider Name | Rocio Del Carmen Sanchez |
First Address | Henderson, NV 89074-8162 |
Second Address | Henderson, NV 89074-8162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2020 |
Last Update Date | 17/09/2020 |