Individual
AMBER STONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5715 W ALEXANDER RD, SUITE 155, LAS VEGAS, NV 89130-2800
(702) 586-8693
Mailing address
9108 CEDAR DOOR AVE, LAS VEGAS, NV 89148-5126
(808) 721-0238
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649576471
MEDICAID TYPE 14
NV
Enumeration date
09/19/2012
Last updated
09/19/2012
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