Individual
ANITRA EGNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5258 S EASTERN AVE STE 105, LAS VEGAS, NV 89119-2327
(702) 464-5080
(702) 464-5080
Mailing address
5157 COMIDA LN, N LAS VEGAS, NV 89031-3318
(702) 239-1989
(702) 464-5081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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