Individual
CHARLENE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 W CHARLESTON BLVD, STE C23, LAS VEGAS, NV 89102-1942
(702) 438-4673
Mailing address
144 COLOGNE CT, OPTIONAL, HENDERSON, NV 89074-3203
(702) 505-7825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225400000X
NV
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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