Individual
CAROLYNN FEDARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W 2ND ST, RENO, NV 89503-5345
(702) 824-3978
Mailing address
1550 EVANS AVE APT 1305A, RENO, NV 89512-2252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-101463
NV
106S00000X
Behavior Technician
Primary
RBT-19-101463
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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