Individual
KELSIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1935 ROYAL CREST DR, ELKO, NV 89801-4922
(775) 385-6422
Mailing address
1935 ROYAL CREST DR, ELKO, NV 89801-4922
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-44479
NV
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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