Individual
ERICA SHANTE' CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 TEDDY DR, BUILDING 2713, LAS VEGAS, NV 89102-6481
(702) 443-2423
Mailing address
2500 TEDDY DR, BUILDING 2713, LAS VEGAS, NV 89102-6481
(702) 443-2423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000006717
—
NV
Enumeration date
12/22/2015
Last updated
12/22/2015
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