Individual
CARISSA BERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9891 WONDERFUL DAY DR, LAS VEGAS, NV 89148-4594
(702) 513-5999
Mailing address
9891 WONDERFUL DAY DR, LAS VEGAS, NV 89148-4594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
16-21735
NV
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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