Individual
ROSEANNE ELLEN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 EMERYWOOD CT, UNITD, LAS VEGAS, NV 89117-9041
(702) 884-9017
Mailing address
1109 SOUTH EMERYWOOD COURT, UNIT D, LAS VEGAS, NV 89117
(702) 884-9017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1602971403
NV
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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