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1124556543
JOHANNA FAVELA CHAIDEZ
LAS VEGAS, NV
NPI
1124556543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2017-05-30
Last Update Date
2022-05-24
Business Address
JOHANNA FAVELA CHAIDEZ
3035 S JONES BLVD STE 1
LAS VEGAS, NV 89146-6766
Phone number: 702-829-1021
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Mailing Address
JOHANNA FAVELA CHAIDEZ
3130 S RAINBOW BLVD STE 304
LAS VEGAS, NV 89146-6212
Phone number: 702-202-3374
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