Most Relevant Information
Provider Data
NPI Number: | 1003576711 |
Provider Name: | ZAIRA ORTIZ SANTANA |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 12/21/2021 |
Last Updated: | 12/21/2021 |
Provider Practice Location
5575 S DURANGO DR STE 102
LAS VEGAS
NV
891131834
Practice Location Phone/Fax
Phone: | 7027896877 |
Fax: |
Provider Mailing Location
5852 SLEEPY FAWN DR
LAS VEGAS
NV
891421665
Provider Mailing Phone/Fax
Phone: | |
Fax: |