Individual
TRICO WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6268 BERRY PATCH WAY, LAS VEGAS, NV 89142-0970
(702) 641-9884
Mailing address
6268 BERRY PATCH WAY, LAS VEGAS, NV 89142-0970
(702) 641-9884
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV20121267098
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710246921
—
NV
Enumeration date
03/03/2014
Last updated
03/03/2014
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