Antoinette Maria Bantug

NPI 1932731379 · on the registry since 2020

Practice

Address: 7351 W Charleston Blvd Ste 120
Las Vegas, NV 89117
Phone: (702) 470-0624
Organisation at this address: Illuminated Path Llc
New Focus Counseling Center Of Nevada, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 95

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada