Individual
LAURA AGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9455 SKY VISTA PKWY APT 16A, RENO, NV 89506-2042
(775) 954-8167
Mailing address
PO BOX 60323, RENO, NV 89506-0006
(775) 954-8167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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