Individual
CARLOS EDUARDO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
350 KRESGE LN, SPARKS, NV 89431-6435
(775) 359-9200
Mailing address
350 KRESGE LN, SPARKS, NV 89431-6435
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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