Individual
ANGELA LYNN CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4227 PONDEROSA DR, CARSON CITY, NV 89701-6469
(775) 671-0406
Mailing address
4227 PONDEROSA DR, CARSON CITY, NV 89701-6469
(775) 671-0406
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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