Individual
KAREN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3052 BALCONES FAULT AVE, NORTH LAS VEGAS, NV 89081-6409
(702) 236-6158
Mailing address
3052 BALCONES FAULT AVE, NORTH LAS VEGAS, NV 89081-6409
(702) 236-6158
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/09/2019
Last updated
06/22/2022
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