Individual
CIRA CRAIGHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W 2ND ST, RENO, NV 89503-5345
(702) 427-3091
Mailing address
1664 N VIRGINIA ST BASIC PATH MS 296, RENO, NV 89557-0001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-57617
NV
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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