LYLE ANTHONY AGONCILLO ABAPO
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1982353611- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5940 S RAINBOW BLVD, LAS VEGAS, NV, 891182506
- Phone
- (888) 531-8385
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
3921 DIAMOND RIDGE ST
LAS VEGAS, NV, 891297059