Individual
MICHELLE R CANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1250 LAMOILLE HWY STE 103, ELKO, NV 89801-4397
(775) 934-5810
(775) 777-1293
Mailing address
PO BOX 1193, ELKO, NV 89803-1193
(775) 934-5810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBAT081111
NV
Other
Enumeration date
09/23/2011
Last updated
06/11/2020
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