Individual
MISS EBONY THEODESIA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 VEGAS DR, LAS VEGAS, NV 89108-2422
(702) 764-1255
Mailing address
5370 E CRAIG RD APT 2342, LAS VEGAS, NV 89115-2182
(702) 764-1255
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
12/10/2013
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